Improving CKD-MBD management in haemodialysis patients: barrier analysis for implementing better practice
Nigel D Toussaint, Eugenie Pedagogos, Jennifer Beavis, Gavin J Becker, Kevan R Polkinghorne, Peter G Kerr
Nephrology Dialysis Transplantation | OXFORD UNIV PRESS | Published : 2011
BACKGROUND: Although clinical guidelines exist for optimal levels of serum markers of chronic kidney disease mineral and bone disorder (CKD-MBD), target parameters are not achieved in many haemodialysis (HD) patients. The reason for this evidence-practice gap is unclear and more information from patients and healthcare professionals is required to improve knowledge transfer. We aimed to determine potential barriers by surveying HD patients and staff about awareness and management of CKD-MBD. METHODS: A total of 136 prevalent HD patients, 25 nephrologists and 58 dialysis nurses/technicians were surveyed. Three separate questionnaires included issues of knowledge and awareness of CKD-MBD and f..View full abstract
The authors would like to thank the dialysis nurse unit managers at respective satellite dialysis centres for facilitation of data gathering, as well as all nephrologists, dialysis nurses and technicians and patients who contributed their time to completing the surveys. N.T. is the recipient of a National Health and Medical Research Council (NHMRC) National Institute of Clinical Studies (NICS) Fellowship. Although this Fellowship is supported by NHMRC, the views expressed herein are those of the authors and are not necessarily those of the NHMRC.