Understanding the implementation of interventions to improve the management of chronic kidney disease in primary care: a rapid realist review.

ABSTRACT:

Background

Chronic kidney disease (CKD) is common and a significant marker of morbidity and mortality. Its management in primary care is essential for maintenance of cardiovascular health, avoidance of acute kidney injury (AKI) and delay in progression to end-stage renal disease. Although many guidelines and interventions have been established, there is global evidence of an implementation gap, including variable identification rates and low patient communication and awareness. The objective of this study is to understand the factors enabling and constraining the implementation of CKD interventions in primary care.

Methods

A rapid realist review was conducted that involved a primary literature search of three databases to identify existing CKD interventions in primary care b

SUBMITTER: Tsang JY 

PROVIDER: S-EPMC4820872 | biostudies-literature | 2016 Apr

REPOSITORIES: biostudies-literature