Optimizing Multidisciplinary Care of Patients with Chronic Kidney Disease and Type 2 Diabetes Mellitus

被引:3
|
作者
Kelepouris, Ellie [1 ]
St. Peter, Wendy [2 ,3 ]
Neumiller, Joshua J. [4 ]
Wright, Eugene E. [5 ]
机构
[1] Univ Penn, Div Renal Electrolyte & Hypertens, Philadelphia, PA 19104 USA
[2] Univ Minnesota, Minneapolis, MN USA
[3] Hennepin Healthcare Res Inst, Minneapolis, MN USA
[4] Washington State Univ, Spokane, WA USA
[5] Charlotte Area Hlth Educ Ctr, Charlotte, NC USA
关键词
Chronic kidney disease; Type 2 diabetes mellitus; Multidisciplinary care; Multidisciplinary team; Care optimization; Prevention; CARDIOVASCULAR OUTCOMES; PHARMACIST INTERVENTION; MEDICATION ADHERENCE; THERAPY MANAGEMENT; NEPHROPATHY; NEPHROLOGY; CKD; HOSPITALIZATION; FINERENONE; PREVENTION;
D O I
10.1007/s13300-023-01416-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Diabetes is the leading cause of chronic kidney disease (CKD), a condition associated with significant morbidity and mortality. As these patients have a high risk of developing cardiovascular disease and end-stage kidney disease, there is a need for early detection and early initiation of appropriate therapeutic interventions that slow disease progression and prevent adverse outcomes. Due to the complex nature of diabetes and CKD management, a holistic, patient-centered, collaborative care approach delivered by a coordinated multidisciplinary team (ideally including a clinical pharmacist as part of a comprehensive medication management program) is needed. In this review, we discuss the barriers to effective care, the current multidisciplinary approach used for CKD prevention and treatment, and the potential ways that the multidisciplinary management of CKD associated with type 2 diabetes mellitus can be refined to improve patient outcomes.
引用
收藏
页码:1111 / 1136
页数:26
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