Evaluation of an Advanced Practice Nurse Led Inter-professional Collaborative Chronic Care Approach for Kidney Transplant Patients: The TARGET Study

TL;DRAbstract

The purpose of this study was to evaluate the effectiveness of an Advanced Practice Nurse (APN) led inter-professional collaborative chronic care approach on the achievement of clinical outcomes for adult kidney transplant chronic kidney disease (CKD) patients, as compared to a traditional transplant nephrologist led approach in one Canadian hospital transplant setting. Methods: In this non-randomized, controlled study guided by the Chronic Care Model (CCM), a propensity-score matched analysis was used to control for confounding variables and potential selection bias. The propensity-score model included the co-variates: a) estimated glomerular filtration rate, b) age, c) sex, d) kidney donor type, and e) diagnosis of diabetes. Based on the CCM elements and CKD clinical practice guidelines, the intervention included strategies for patient disease self-management, end-stage renal disease shared decision-making, healthcare system re-organization, and clinical decision support. The primary

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