While the implementation of a nurse-led program to manage chronic kidney disease in a primary care setting did not slow disease progression, it did improve quality of care and help patients achieve target blood pressures, according to a published study.
“Many clinicians in primary care remain uncomfortable with the concept of CKD and find this area of patient management challenging, difficult and of debatable benefit,” Rupert W. Major, PhD, of the department of nephrology at University Hospitals of Leicester National Health Service Trust in the United Kingdom, and colleagues wrote. “Although most patients with CKD are managed in the primary care setting, the evidence base for CKD care in general practice is scant, and it is not clear whether specific CKD management programs can alter outcomes in primary care.”
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