TY - JOUR
T1 - Closing the gap between evidence and practice in chronic kidney disease
AU - Jardine, Meg
AU - Kasiske, Bertram
AU - Adu, Dwomoa
AU - Alrukhaimi, Mona
AU - Ashuntantang, Gloria
AU - Basnet, Shakti
AU - Chailimpamontree, Worawon
AU - Craig, Jonathan
AU - O'Donoghue, Donal
AU - Perkovic, Vlado
AU - Powe, Neil
AU - Roberts, Charlotte
AU - Suzuki, Yusuke
AU - Tanaka, Tetsuhiro
AU - Uhlig, Katrin
PY - 2017/10
Y1 - 2017/10
N2 - There are major gaps between our growing knowledge of effective treatments for chronic kidney disease (CKD), and the delivery of evidence-based therapies to populations around the world. Although there remains a need for new, effective therapies, current evidence suggests that many patients with CKD are yet to fully realize the benefits of blood pressure–lowering drugs (with and without reducing proteinuria with renin-angiotensin system blockade), wider use of statins to reduce atherosclerotic cardiovascular disease events, and better glycemic control in both type 1 and type 2 diabetes. There are many barriers to optimizing evidence-based nephrology care around the world, including access to health care, affordability of treatments, consumer attitudes and circumstances, the dissemination of appropriate knowledge, the availability of expertise and structural impediments in the delivery of health care. Further investment in implementation science that addresses the major barriers to effective care in a cost-effective manner could yield both local and global benefits.
AB - There are major gaps between our growing knowledge of effective treatments for chronic kidney disease (CKD), and the delivery of evidence-based therapies to populations around the world. Although there remains a need for new, effective therapies, current evidence suggests that many patients with CKD are yet to fully realize the benefits of blood pressure–lowering drugs (with and without reducing proteinuria with renin-angiotensin system blockade), wider use of statins to reduce atherosclerotic cardiovascular disease events, and better glycemic control in both type 1 and type 2 diabetes. There are many barriers to optimizing evidence-based nephrology care around the world, including access to health care, affordability of treatments, consumer attitudes and circumstances, the dissemination of appropriate knowledge, the availability of expertise and structural impediments in the delivery of health care. Further investment in implementation science that addresses the major barriers to effective care in a cost-effective manner could yield both local and global benefits.
KW - chronic kidney disease
KW - implementation
KW - treatment gap
UR - http://www.scopus.com/inward/record.url?scp=85031709802&partnerID=8YFLogxK
U2 - 10.1016/j.kisu.2017.07.006
DO - 10.1016/j.kisu.2017.07.006
M3 - Review article
VL - 7
SP - 114
EP - 121
JO - Kidney International Supplements
JF - Kidney International Supplements
SN - 2157-1724
IS - 2
ER -