Abstract: PUB381
Person-Centered Integrated Care for Mild to Moderate CKD and Multimorbidity: A Scoping Review
Session Information
Category: CKD (Non-Dialysis)
- 2302 CKD (Non-Dialysis): Clinical, Outcomes, and Trials
Authors
- Brown, Jennifer A., University of Calgary, Calgary, Alberta, Canada
- Jassemi, Sabrina, University of Calgary, Calgary, Alberta, Canada
- Hecker, Taylor H, University of Calgary, Calgary, Alberta, Canada
- McKenzie, Nicole, University of Calgary, Calgary, Alberta, Canada
- Crysdale, Gillian, University of Calgary, Calgary, Alberta, Canada
- Zym, Nicholle, University of Alberta, Edmonton, Alberta, Canada
- Elliott, Meghan J., University of Calgary, Calgary, Alberta, Canada
- Bello, Aminu K., University of Alberta, Edmonton, Alberta, Canada
- Hemmelgarn, Brenda, University of Alberta, Edmonton, Alberta, Canada
- McBrien, Kerry, University of Calgary, Calgary, Alberta, Canada
- Santana, Maria Jose, University of Calgary, Calgary, Alberta, Canada
- Verdin, Nancy, University of Calgary, Calgary, Alberta, Canada
- Donald, Maoliosa, University of Calgary, Calgary, Alberta, Canada
Background
Chronic kidney disease (CKD) is increasing in prevalence and most patients with this condition also experience multimorbidity, defined as two or more co-existing chronic health conditions, with recent reviews suggesting this includes up to 99% of CKD patients. Care and management for these patients is complex and multifaceted. Person-centered integrated care (PC-IC) is an ideal approach to support this population, but evidence for developing and implementing PC-IC strategies for patients with mild to moderate CKD is currently lacking.
Methods
We conducted this review in accordance with the JBI methodology for scoping reviews and used the PRISMA-ScR. We searched for publications and grey literature that discuss the care of adult patients with mild to moderate chronic kidney disease experiencing multimorbidity, who may be the beneficiaries of PC-IC strategies. The Rainbow Model of Integrated Care is a framework for different levels of integrated care interventions, including macro- (system), meso- (organizational and professional), and micro-levels (clinical), all of which were considered in this review.
Results
Our search of published works collected 31812 entries. From this, 721 papers progressed to full text screening. We included 136 for data extraction which is ongoing. Our grey literature search yielded one paper.
General themes for integrated care strategies implemented that were revealed in our search include:
- Collaborative care between nephrology and other medical specialities
- Collaborative care between nephrology and other allied healthcare professions
- Pharmacist initiated medication education and titration
- Health knowledge education interventions delivered by nurses
- Self-management education
- Streamlined referrals between nephrology and primary care
- Electronic health record applications
- “Tele-nephrology”
Conclusion
Our diverse research team is in the process of completing data extraction with the goal of better understanding the breadth of evidence that exists for PC-IC in multi-morbid patients with CKD. With this information, we hope to create well developed, and patient centered models of care for this increasingly complex and diverse population.
Funding
- Government Support – Non-U.S.