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Management of non-dialysis chronic renal disease from the perspective of primary care physicians and nephrologists - a qualitative study

 

Projektkennung VfD_14_003801
Laufzeit von 08/2014 bis 12/2016
Status des Projekts abgeschlossen

 

Projektbeschreibung

Fragestellung(en) The purpose of this study was to examine PCPs’ and nephrologists’ perspectives on management of patients with non-dialysis CKD.
Hintergrund / Ziele Chronic kidney disease (CKD) is a common diagnosis in adulthood and is characterized by a long asymptomatic phase. Merely a small portion of patients will develop end stage renal disease (ESRD) and require renal replacement therapy. Most patients with CKD are therefore treated by primary care physicians.

The aim of the study was to examine the management of patients with non-dialysis CKD from the perspective of primary care physicians (PCP) and nephrologists. Additionally, the cooperation between the two specialties was examined.
Methodik We conducted 5 focus groups with family physicians (n = 22) and 20 expert interviews with nephrologists. Data were recorded and transcribed and content analysis was performed.
Datenbasis Primärdaten
   Interview (Face to face)  (Stichprobengröße: 20)
   Gruppendiskussion/Fokusgruppe  (Stichprobengröße: 22)
Studiendesign Qualitative Studie
Untersuchte Geschlechter weiblich und männlich
Untersuchte Altersgruppen nicht untersucht
Ergebnisse Most important treatment measures for CKD mentioned by both disciplines were optimizing the underlying disease, medication adjustment, referral to a nephrologist and sensitization of patients for CKD. The primary care physicians stressed the consideration of individuality in the management of their CKD patients. This view was shared by several nephrologists. Interdisciplinary care for patients was described by both sides as desirable and past experiences had been mostly positive, but some felt that not all follow up visits were warranted.

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Stand: 31.01.2017