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Perceptions and use of the national kidney foundation KDOQI guidelines: a survey of U.S. renal healthcare providers.

Estrella MM, Jaar BG, Cavanaugh KL, Fox CH, Perazella MA, Soman SS, Howell E, Rocco MV, Choi MJ, National Kidney Foundati - BMC Nephrol (2013)

Bottom Line: Providers thought that the guidelines included too much detail and identified the lack of a quick resource as a barrier to clinical implementation.Most were unaware of the Clinical Action Plans.Perceived barriers differed between renal clinicians and allied health professionals; educational and implementation tools tailored for different providers are needed.

View Article: PubMed Central - HTML - PubMed

Affiliation: Departments of Medicine, Johns Hopkins University School of Medicine, 1830 E, Monument Street, Suite 416, Baltimore, MD 21205, USA. mchoi3@jhmi.edu.

ABSTRACT

Background: The National Kidney Foundation (NKF) Kidney Disease Outcomes Quality Initiative (KDOQI) developed guidelines to care for patients with chronic kidney disease (CKD). While these are disseminated through the NKF's website and publications, the guidelines' usage remains suboptimal. The KDOQI Educational Committee was formed to identify barriers to guideline implementation, determine provider and patient educational needs and develop tools to improve care of patients with CKD.

Methods: An online survey was conducted from May to September 2010 to evaluate renal providers' familiarity, current use of and attitudes toward the guidelines and tools to implement the guidelines.

Results: Most responders reported using the guidelines often and felt that they could be easily implemented into clinical practice; however, approximately one-half identified at least one barrier. Physicians and physician extenders most commonly cited the lack of evidence supporting KDOQI guidelines while allied health professionals most commonly listed patient non-adherence, unrealistic guideline goals and provider time-constraints. Providers thought that the guidelines included too much detail and identified the lack of a quick resource as a barrier to clinical implementation. Most were unaware of the Clinical Action Plans.

Conclusions: Perceived barriers differed between renal clinicians and allied health professionals; educational and implementation tools tailored for different providers are needed.

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Related in: MedlinePlus

Barriers to the Implementation of KDOQI Guidelines. The proportions of respondents among physicians (light blue), physician extenders (medium blue) and allied health professionals (dark blue) for each barrier are shown. P-values are detailed for barriers in which there were significant differences in the proportion of respondents between the two groups.
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Figure 2: Barriers to the Implementation of KDOQI Guidelines. The proportions of respondents among physicians (light blue), physician extenders (medium blue) and allied health professionals (dark blue) for each barrier are shown. P-values are detailed for barriers in which there were significant differences in the proportion of respondents between the two groups.

Mentions: When participants were asked to list barriers, if any, to the implementation of KDOQI guidelines to clinical practice, 46% of clinicians and 56% of allied health professionals identified no barriers (P = 0.03). Among barriers listed, the most common barrier perceived by physicians was the lack of evidence supporting the KDOQI guidelines (38%), followed distantly by the guidelines not being applicable to their patients (13%) (Figure 2). Compared to physician extenders and allied health professionals, a larger proportion of nephrologists cited lack of evidence and too much influence from industry as barriers to the implementation of the KDOQI guidelines. Among physician extenders, the most common barriers perceived were outdated guidelines (18%), lack of integration of the guidelines into their practice (14%), and provider time-constraints (14%). Among allied health professionals, the most common perceived barriers were patient non-adherence, unrealistic guidelines and provider time-constraints. Compared with physicians and physician extenders, a greater proportion of allied health professionals listed the lack of a quick resource as barriers to clinical implementation of the KDOQI guidelines.


Perceptions and use of the national kidney foundation KDOQI guidelines: a survey of U.S. renal healthcare providers.

Estrella MM, Jaar BG, Cavanaugh KL, Fox CH, Perazella MA, Soman SS, Howell E, Rocco MV, Choi MJ, National Kidney Foundati - BMC Nephrol (2013)

Barriers to the Implementation of KDOQI Guidelines. The proportions of respondents among physicians (light blue), physician extenders (medium blue) and allied health professionals (dark blue) for each barrier are shown. P-values are detailed for barriers in which there were significant differences in the proportion of respondents between the two groups.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4016578&req=5

Figure 2: Barriers to the Implementation of KDOQI Guidelines. The proportions of respondents among physicians (light blue), physician extenders (medium blue) and allied health professionals (dark blue) for each barrier are shown. P-values are detailed for barriers in which there were significant differences in the proportion of respondents between the two groups.
Mentions: When participants were asked to list barriers, if any, to the implementation of KDOQI guidelines to clinical practice, 46% of clinicians and 56% of allied health professionals identified no barriers (P = 0.03). Among barriers listed, the most common barrier perceived by physicians was the lack of evidence supporting the KDOQI guidelines (38%), followed distantly by the guidelines not being applicable to their patients (13%) (Figure 2). Compared to physician extenders and allied health professionals, a larger proportion of nephrologists cited lack of evidence and too much influence from industry as barriers to the implementation of the KDOQI guidelines. Among physician extenders, the most common barriers perceived were outdated guidelines (18%), lack of integration of the guidelines into their practice (14%), and provider time-constraints (14%). Among allied health professionals, the most common perceived barriers were patient non-adherence, unrealistic guidelines and provider time-constraints. Compared with physicians and physician extenders, a greater proportion of allied health professionals listed the lack of a quick resource as barriers to clinical implementation of the KDOQI guidelines.

Bottom Line: Providers thought that the guidelines included too much detail and identified the lack of a quick resource as a barrier to clinical implementation.Most were unaware of the Clinical Action Plans.Perceived barriers differed between renal clinicians and allied health professionals; educational and implementation tools tailored for different providers are needed.

View Article: PubMed Central - HTML - PubMed

Affiliation: Departments of Medicine, Johns Hopkins University School of Medicine, 1830 E, Monument Street, Suite 416, Baltimore, MD 21205, USA. mchoi3@jhmi.edu.

ABSTRACT

Background: The National Kidney Foundation (NKF) Kidney Disease Outcomes Quality Initiative (KDOQI) developed guidelines to care for patients with chronic kidney disease (CKD). While these are disseminated through the NKF's website and publications, the guidelines' usage remains suboptimal. The KDOQI Educational Committee was formed to identify barriers to guideline implementation, determine provider and patient educational needs and develop tools to improve care of patients with CKD.

Methods: An online survey was conducted from May to September 2010 to evaluate renal providers' familiarity, current use of and attitudes toward the guidelines and tools to implement the guidelines.

Results: Most responders reported using the guidelines often and felt that they could be easily implemented into clinical practice; however, approximately one-half identified at least one barrier. Physicians and physician extenders most commonly cited the lack of evidence supporting KDOQI guidelines while allied health professionals most commonly listed patient non-adherence, unrealistic guideline goals and provider time-constraints. Providers thought that the guidelines included too much detail and identified the lack of a quick resource as a barrier to clinical implementation. Most were unaware of the Clinical Action Plans.

Conclusions: Perceived barriers differed between renal clinicians and allied health professionals; educational and implementation tools tailored for different providers are needed.

Show MeSH
Related in: MedlinePlus