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Impact of quality improvement initiatives to improve CKD referral patterns: a systematic review protocol

INTRODUCTION: Chronic kidney disease (CKD) is a global-health problem. A significant proportion of referrals to nephrologists for CKD management are early and guideline-discordant, which may lead to an excess number of referrals and increased wait-times. Various initiatives have been tested to incre...

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Autores principales: Ghimire, Anukul, Sultana, Naima, Ye, Feng, Hamonic, Laura N, Grill, Allan K, Singer, Alexander, Akbari, Ayub, Braam, Branko, Collister, David, Jindal, Kailash, Courtney, Mark, Shah, Nikhil, Ronksley, Paul E, Shurraw, Sabin, Brimble, Kenneth Scott, Klarenbach, Scott, Chou, Sophia, Shojai, Soroush, Deved, Vinay, Wong, Andrew, Okpechi, Ikechi, Bello, A K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9024271/
https://www.ncbi.nlm.nih.gov/pubmed/35450902
http://dx.doi.org/10.1136/bmjopen-2021-055456
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author Ghimire, Anukul
Sultana, Naima
Ye, Feng
Hamonic, Laura N
Grill, Allan K
Singer, Alexander
Akbari, Ayub
Braam, Branko
Collister, David
Jindal, Kailash
Courtney, Mark
Shah, Nikhil
Ronksley, Paul E
Shurraw, Sabin
Brimble, Kenneth Scott
Klarenbach, Scott
Chou, Sophia
Shojai, Soroush
Deved, Vinay
Wong, Andrew
Okpechi, Ikechi
Bello, A K
author_facet Ghimire, Anukul
Sultana, Naima
Ye, Feng
Hamonic, Laura N
Grill, Allan K
Singer, Alexander
Akbari, Ayub
Braam, Branko
Collister, David
Jindal, Kailash
Courtney, Mark
Shah, Nikhil
Ronksley, Paul E
Shurraw, Sabin
Brimble, Kenneth Scott
Klarenbach, Scott
Chou, Sophia
Shojai, Soroush
Deved, Vinay
Wong, Andrew
Okpechi, Ikechi
Bello, A K
author_sort Ghimire, Anukul
collection PubMed
description INTRODUCTION: Chronic kidney disease (CKD) is a global-health problem. A significant proportion of referrals to nephrologists for CKD management are early and guideline-discordant, which may lead to an excess number of referrals and increased wait-times. Various initiatives have been tested to increase the proportion of guideline-concordant referrals and decrease wait times. This paper describes the protocol for a systematic review to study the impacts of quality improvement initiatives aimed at decreasing the number of non-guideline concordant referrals, increasing the number of guideline-concordant referrals and decreasing wait times for patients to access a nephrologist. METHODS AND ANALYSIS: We developed this protocol by using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Protocols (2015). We will search the following empirical electronic databases: MEDLINE, Embase, Cochrane Library, CINAHL, Web of Science, PsycINFO and grey literature for studies designed to improve guideline-concordant referrals or to reduce unnecessary referrals of patients with CKD from primary care to nephrology. Our search will include all studies published from database inception to April 2021 with no language restrictions. The studies will be limited to referrals for adult patients to nephrologists. Referrals of patients with CKD from non-nephrology specialists (eg, general internal medicine) will be excluded. ETHICS AND DISSEMINATION: Ethics approval will not be required, as we will analyse data from studies that have already been published and are publicly accessible. We will share our findings using traditional approaches, including scientific presentations, open access peer-reviewed platforms, and appropriate government and public health agencies. PROSPERO REGISTRATION NUMBER: CRD42021247756.
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spelling pubmed-90242712022-05-06 Impact of quality improvement initiatives to improve CKD referral patterns: a systematic review protocol Ghimire, Anukul Sultana, Naima Ye, Feng Hamonic, Laura N Grill, Allan K Singer, Alexander Akbari, Ayub Braam, Branko Collister, David Jindal, Kailash Courtney, Mark Shah, Nikhil Ronksley, Paul E Shurraw, Sabin Brimble, Kenneth Scott Klarenbach, Scott Chou, Sophia Shojai, Soroush Deved, Vinay Wong, Andrew Okpechi, Ikechi Bello, A K BMJ Open Renal Medicine INTRODUCTION: Chronic kidney disease (CKD) is a global-health problem. A significant proportion of referrals to nephrologists for CKD management are early and guideline-discordant, which may lead to an excess number of referrals and increased wait-times. Various initiatives have been tested to increase the proportion of guideline-concordant referrals and decrease wait times. This paper describes the protocol for a systematic review to study the impacts of quality improvement initiatives aimed at decreasing the number of non-guideline concordant referrals, increasing the number of guideline-concordant referrals and decreasing wait times for patients to access a nephrologist. METHODS AND ANALYSIS: We developed this protocol by using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Protocols (2015). We will search the following empirical electronic databases: MEDLINE, Embase, Cochrane Library, CINAHL, Web of Science, PsycINFO and grey literature for studies designed to improve guideline-concordant referrals or to reduce unnecessary referrals of patients with CKD from primary care to nephrology. Our search will include all studies published from database inception to April 2021 with no language restrictions. The studies will be limited to referrals for adult patients to nephrologists. Referrals of patients with CKD from non-nephrology specialists (eg, general internal medicine) will be excluded. ETHICS AND DISSEMINATION: Ethics approval will not be required, as we will analyse data from studies that have already been published and are publicly accessible. We will share our findings using traditional approaches, including scientific presentations, open access peer-reviewed platforms, and appropriate government and public health agencies. PROSPERO REGISTRATION NUMBER: CRD42021247756. BMJ Publishing Group 2022-04-21 /pmc/articles/PMC9024271/ /pubmed/35450902 http://dx.doi.org/10.1136/bmjopen-2021-055456 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Renal Medicine
Ghimire, Anukul
Sultana, Naima
Ye, Feng
Hamonic, Laura N
Grill, Allan K
Singer, Alexander
Akbari, Ayub
Braam, Branko
Collister, David
Jindal, Kailash
Courtney, Mark
Shah, Nikhil
Ronksley, Paul E
Shurraw, Sabin
Brimble, Kenneth Scott
Klarenbach, Scott
Chou, Sophia
Shojai, Soroush
Deved, Vinay
Wong, Andrew
Okpechi, Ikechi
Bello, A K
Impact of quality improvement initiatives to improve CKD referral patterns: a systematic review protocol
title Impact of quality improvement initiatives to improve CKD referral patterns: a systematic review protocol
title_full Impact of quality improvement initiatives to improve CKD referral patterns: a systematic review protocol
title_fullStr Impact of quality improvement initiatives to improve CKD referral patterns: a systematic review protocol
title_full_unstemmed Impact of quality improvement initiatives to improve CKD referral patterns: a systematic review protocol
title_short Impact of quality improvement initiatives to improve CKD referral patterns: a systematic review protocol
title_sort impact of quality improvement initiatives to improve ckd referral patterns: a systematic review protocol
topic Renal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9024271/
https://www.ncbi.nlm.nih.gov/pubmed/35450902
http://dx.doi.org/10.1136/bmjopen-2021-055456
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