Research Nynke D Scherpbier-de Haan, Gerald MM Vervoort, Chris van Weel, Jozé CC Braspenning, Jan Mulder, Jack FM Wetzels and Wim JC de Grauw

Effect of shared care on blood pressure in patients with chronic kidney disease: a cluster randomised controlled trial

Abstract Background

Chronic kidney disease (CKD) is highly prevalent in patients with diabetes or hypertension in primary care. A shared care model could improve quality of care in these patients

Aim

To assess the effect of a shared care model in managing patients with CKD who also have diabetes or hypertension.

Design and setting

A cluster randomised controlled trial in nine general practices in The Netherlands.

Method

Five practices were allocated to the shared care model and four practices to usual care for 1 year. Primary outcome was the achievement of blood pressure targets (130/80 mmHg) and lowering of blood pressure in patients with diabetes mellitus or hypertension and an estimated glomerular filtration rate (eGFR)18  years) who were treated for hypertension or type 2 diabetes mellitus by their GP and had an estimated glomerular filtration rate (eGFR) measurement of

Effect of shared care on blood pressure in patients with chronic kidney disease: a cluster randomised controlled trial.

Chronic kidney disease (CKD) is highly prevalent in patients with diabetes or hypertension in primary care. A shared care model could improve quality ...
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