Comprehensive medical care support by healthcare professionals improved physical function, quality of life, and self-management in patients with chronic kidney disease.
Does multidisciplinary comprehensive medical care support, including nurses, improve renal function, blood pressure, physical function, and quality of life in patients with dialysis-independent chronic kidney disease?
Multidisciplinary team-based comprehensive medical care support, including nursing involvement, improves physical function, quality of life, and self-management in patients with CKD, though it does not significantly impact renal function or blood pressure.
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Abstract Background This study aimed to evaluate the effectiveness of comprehensive medical care support (CMCS) by healthcare professionals, including nurses, for patients with chronic kidney disease (CKD) in the preservation phase. Methods All relevant studies were identified through comprehensive literature searches conducted in PubMed (MEDLINE) and Ichushi-Web. Randomized controlled trials involving patients aged ≥ 18 years with dialysis-independent CKD were included. The trials had to include nurses in the intervention details and provide CMCS by two or more healthcare professionals. Results A total of 20 studies were included in the systematic review, of which 14 were eligible for meta-analysis. A significant positive effect of CMCS was observed in terms of physical function, quality of life (QOL), and self-management ability. However, in the pooled analysis, no significant differences regarding renal function and blood pressure were found between the groups. Conclusions The findings suggest that multidisciplinary team-based CMCS, including nursing involvement, may be associated with improvements in physical function, quality of life, and self-management in patients with CKD; however, substantial heterogeneity across studies warrants cautious interpretation and generalization. PROSPERO registration no. CRD42024529378.
Hitoshi et al. (Wed,) reported a other. Comprehensive medical care support by healthcare professionals improved physical function, quality of life, and self-management in patients with chronic kidney disease.