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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

Suggested Tools for Improving 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 suggested tool are shown. P-values are detailed for suggested tools in which there were significant differences in the proportion of respondents between the two groups.
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Figure 3: Suggested Tools for Improving 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 suggested tool are shown. P-values are detailed for suggested tools in which there were significant differences in the proportion of respondents between the two groups.

Mentions: Participants were also asked to list tools that they thought would facilitate the implementation of KDOQI guidelines into clinical practice. Among 218 renal providers who responded to this question, the most common tool suggested by providers was summary guidelines (Figure 3). A greater proportion of physicians, compared with physician extenders and allied health professionals, listed evidence-based guidelines (26% vs. 6% and 2%, respectively; P < 0.01) as a potential tool to improve implementation of KDOQI guidelines into clinical practice. In contrast, a larger proportion of physician extenders suggested personal device applications as potential tools for guideline implementation compared to physicians and allied health professionals (18% vs. 6% and 1%, respectively; P < 0.01). In addition, fewer physicians and physician extenders compared with allied health professionals suggested materials geared for non-physician providers (1% vs. 8%, respectively; P = 0.03) and patient education materials (2% vs. 9%, respectively; P = 0.05) as potential tools.


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)

Suggested Tools for Improving 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 suggested tool are shown. P-values are detailed for suggested tools 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 3: Suggested Tools for Improving 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 suggested tool are shown. P-values are detailed for suggested tools in which there were significant differences in the proportion of respondents between the two groups.
Mentions: Participants were also asked to list tools that they thought would facilitate the implementation of KDOQI guidelines into clinical practice. Among 218 renal providers who responded to this question, the most common tool suggested by providers was summary guidelines (Figure 3). A greater proportion of physicians, compared with physician extenders and allied health professionals, listed evidence-based guidelines (26% vs. 6% and 2%, respectively; P < 0.01) as a potential tool to improve implementation of KDOQI guidelines into clinical practice. In contrast, a larger proportion of physician extenders suggested personal device applications as potential tools for guideline implementation compared to physicians and allied health professionals (18% vs. 6% and 1%, respectively; P < 0.01). In addition, fewer physicians and physician extenders compared with allied health professionals suggested materials geared for non-physician providers (1% vs. 8%, respectively; P = 0.03) and patient education materials (2% vs. 9%, respectively; P = 0.05) as potential tools.

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