Advances in kidney disease and health最新文献_第2页

Acute Kidney Injury Care Following Hospitalization: Care Provision and Public Policy for Acute Kidney Injury Survivors 急性肾损伤住院后的护理：为急性肾损伤幸存者提供的护理和公共政策

Advances in kidney disease and health Pub Date : 2025-03-01 DOI: 10.1053/j.akdh.2024.10.002

Seda Babroudi, Daniel E. Weiner

{"title":"Acute Kidney Injury Care Following Hospitalization: Care Provision and Public Policy for Acute Kidney Injury Survivors","authors":"Seda Babroudi, Daniel E. Weiner","doi":"10.1053/j.akdh.2024.10.002","DOIUrl":"10.1053/j.akdh.2024.10.002","url":null,"abstract":"<div><div>The global incidence of acute kidney injury (AKI) is increasing. AKI is associated with both short- and long-term risks, including increased risk of chronic kidney disease and kidney failure, cardiovascular events, and all-cause death. This review summarizes existing posthospitalization AKI care guidelines, interprets the current state of evidence for AKI survivor care models including nephrology-specific and multidisciplinary team interventions, and details the health policy landscape for AKI survivors receiving outpatient dialysis in the United States. The main finding of this review is that evidence supporting specific posthospitalization AKI care interventions is very limited, resulting in imprecise consensus-based practice recommendations by national and international kidney societies for AKI survivors. The main implication of this work is to highlight the urgent need for additional research evaluating the efficacy of different care models among AKI survivors at high risk of maintenance dialysis, progression of kidney disease, rehospitalization, and death to devise value-based care models and clinical interventions that improve patient outcomes.</div></div>","PeriodicalId":72096,"journal":{"name":"Advances in kidney disease and health","volume":"32 2","pages":"Pages 205-216"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Care That Fits: Optimizing Value-Based Care for Acute Kidney Injury Survivors 适合的护理：优化急性肾损伤幸存者的基于价值的护理

Advances in kidney disease and health Pub Date : 2025-03-01 DOI: 10.1053/j.akdh.2024.10.010

Bethany C. Birkelo , Erin F. Barreto , Edward D. Siew

{"title":"Care That Fits: Optimizing Value-Based Care for Acute Kidney Injury Survivors","authors":"Bethany C. Birkelo , Erin F. Barreto , Edward D. Siew","doi":"10.1053/j.akdh.2024.10.010","DOIUrl":"10.1053/j.akdh.2024.10.010","url":null,"abstract":"<div><div>Acute kidney injury (AKI) survivors are at risk for substantial adverse outcomes, and the post-AKI setting is a source of high health care utilization. Kidney health is often not prioritized after discharge from an AKI hospitalization and can be complicated by patient and process-related barriers. Improving kidney care for AKI survivors has the potential to improve outcomes, though data on which care models are optimal for this population are lacking. Care models utilized in other patient populations, as well as prior trials of AKI survivor clinics, can provide insight as to how these models could be implemented in the post-AKI setting to improve outcomes in a cost-effective way. Potential care models range on a spectrum from the least specialized, most highly scalable, and cost-effective options, such as patient engagement programs and home health, to more generally accessible models including allied health-driven models, and primary care-embedded programs, to highly specialized and less scalable options, such as nephrology-led survivor clinics. Each has potential applications and limitations in the post-AKI setting. Ongoing studies that incorporate elements of multiple care models may have the most promise to improve value-based care in the care of AKI survivors.</div></div>","PeriodicalId":72096,"journal":{"name":"Advances in kidney disease and health","volume":"32 2","pages":"Pages 133-143"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Beyond Acute Care for Dialysis-Requiring Acute Kidney Injury: Three Patients' Stories and One Nephrologist's Commentary 需要透析的急性肾损伤的急性护理之外：三位患者的故事和一位肾病专家的评论

Advances in kidney disease and health Pub Date : 2025-03-01 DOI: 10.1053/j.akdh.2024.11.001

Chi-yuan Hsu MD, Marla C. Levy, Melissa (Liddy) Lawson

引用次数: 0

The Next Frontier of Kidney Care Quality: Addressing Known Gaps to Transform Care Delivery. 肾脏护理质量的下一个前沿：解决已知的差距，以改变护理交付。

Advances in kidney disease and health Pub Date : 2025-02-07 DOI: 10.1053/j.akdh.2025.01.009

Mallika L Mendu, Wingel Xue, Lipika Samal

{"title":"The Next Frontier of Kidney Care Quality: Addressing Known Gaps to Transform Care Delivery.","authors":"Mallika L Mendu, Wingel Xue, Lipika Samal","doi":"10.1053/j.akdh.2025.01.009","DOIUrl":"https://doi.org/10.1053/j.akdh.2025.01.009","url":null,"abstract":"<p><p>Over the past decade, quality measurement for patients with kidney disease has been centered on pay-for-performance metrics for kidney failure. From the seminal Centers for Medicare Services ESRD Quality Incentive Program in 2012 to Centers for Medicare Services dialysis start ratings in 2015 to more recent Centers for Medicare and Medicaid Innovation value-based care kidney models, like ESRD Treatment Choices and Kidney Care Choices, there has largely been a focus on care provided in dialysis units. The value of existing kidney-based quality measures has been evaluated, illustrating challenges with validity, attribution, and risk adjustment. Similarly, the current models of incentivization have been questioned with respect to meaningful impacts on improving care. In order to transform kidney care quality, the next phase of quality program development must focus on patient-centeredness, clinical outcomes, and health equity and should be applied across the continuum of kidney care delivery; incorporation of these elements is critical to ensure patients' perspectives on quality are included, longstanding disparities are addressed, and silos of CKD care are broken down. There is an opportunity to fundamentally shift kidney care quality to a new frontier and drive real improvements in care delivery.</p>","PeriodicalId":72096,"journal":{"name":"Advances in kidney disease and health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Chronic Kidney Disease-Part 2: Management and Its Complications 慢性肾脏疾病-第二部分：管理及其并发症

Advances in kidney disease and health Pub Date : 2025-01-01 DOI: 10.1053/j.akdh.2024.11.004

Holly Kramer

引用次数: 0

Embedding Equity and Inclusion Principles Into Nephrology Board Examinations: An Essential Part of Our Path Toward Kidney Health Justice 将公平和包容原则纳入肾脏病委员会检查：我们通往肾脏健康正义之路的重要组成部分

Advances in kidney disease and health Pub Date : 2025-01-01 DOI: 10.1053/j.akdh.2024.12.005

Dinushika Mohottige , Samira Farouk

引用次数: 0

Podocytopathies

Advances in kidney disease and health Pub Date : 2025-01-01 DOI: 10.1053/j.akdh.2024.10.004

Mariela Navarro-Torres, Benjamin Wooden, Dominick Santoriello, Jai Radhakrishnan, Andrew S. Bomback

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Calcium, Magnesium and Phosphate Disorders 钙、镁和磷酸盐紊乱

Advances in kidney disease and health Pub Date : 2025-01-01 DOI: 10.1053/j.akdh.2024.10.007

Nayan Arora , Abbal Koirala

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The Nephrology Boards and Certification Exams: Relevance in a Changing Landscape 肾脏病委员会和认证考试：在不断变化的环境中的相关性

Advances in kidney disease and health Pub Date : 2025-01-01 DOI: 10.1053/j.akdh.2025.01.011

Jeffrey H. William, Sam Kant

引用次数: 0

Metabolic Acidosis 代谢性酸中毒

Advances in kidney disease and health Pub Date : 2025-01-01 DOI: 10.1053/j.akdh.2025.01.012

Keiko I. Greenberg , Stewart H. Lecker

引用次数: 0