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Kidney Week

Abstract: TH-PO1092

Decline in Glomerular Filtration Rate Before and After Multidisciplinary Care Referral in Moderate to Advanced CKD

Session Information

Category: CKD (Non-Dialysis)

  • 1902 CKD (Non-Dialysis): Clinical, Outcomes, and Trials


  • Hirakawa, Makoto, Iizuka Hospital, Iizuka, Japan

The multidisciplinary care (MDC) model has been used in our hospital for years. We investigated whether the outpatient chronic kidney disease (CKD) treatment by the MDC contributed to the inhibition of the progression of renal failure.


This study provides a retrospective review of the individual rates of estimated glomerular filtration rate (eGFR) decline (ml/min/1.73m2/year) for the 6 months before and after referral in 40 referrals with stages 3–5 CKD to one renal unit between March 2010 and June 2012. The MDC team consisted of a nephrologist, nurses, dieticians, and other professionals.


The Age and eGFR at the time of referral was 66 ± 12 and 14.7 ± 6.6 ml/min/1.73m2 (mean ± SD), and the mean observation period was 395 days (172 to 862 days). The decrease in the eGFR before and after the referral was significantly improved from -8.0 ± 8.0 ml/min/1.73m2/year to -1.3 ± 5.9 ml/min/1.73m2/year (P<0.01). Blood pressure also reduced significantly (139/80 to 133/73mmHg, P<0.05).


The outpatient renal failure treatment by using multidisciplinary care might contribute to the suppression of renal failure.