Audit and Feedback Supporting New Guideline Implementation in Chronic Kidney Disease.
Background: Adults with Type 2 diabetes mellitus and chronic kidney disease experience higher risk for progression to end stage kidney disease, which negatively impacts health, increases medical costs, and decreases quality of life. Objective: Determine if an audit and feedback intervention in a loc...
| Publicado en: | Journal of Evaluation in Clinical Practice Vol. 31; no. 4; pp. 1 - 9 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=186282508&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186282508 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13561294 EV1 jtl: Journal of Evaluation in Clinical Practice issn: 13561294 maglogo: Y pubinfo: dt: Jun2025 vid: 31 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 186282508 186282508 186282508 10.1111/jep.70132 186282508 ppf: 1 ppct: 8 formats: tig: atl: Audit and Feedback Supporting New Guideline Implementation in Chronic Kidney Disease. aug: au: Lanpher, Megan E. Patterson, Brooke Ebrahim, Muhammad Tavakoli, Abbas S. affil: College of Nursing, University of South Carolina, Columbia sug: subj: Kidney Failure, Chronic Drug Therapy Disease Progression Prevention and Control Sodium-Glucose Co-Transporter 2 Inhibitors Therapeutic Use Audit Feedback Guideline Adherence Human Male Female Adult Middle Age United States Pretest-Posttest Design Structured Interview Physicians Nephrology Outpatient Service Physician Attitudes Diabetes Mellitus, Type 2 Drug Therapy Support, Psychosocial Practice Guidelines Drugs, Prescription Implementation Science Decision Making, Clinical Chi Square Test Logistic Regression Univariate Statistics Odds Ratio Confidence Intervals Statistical Significance Data Analysis Software Descriptive Statistics Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Background: Adults with Type 2 diabetes mellitus and chronic kidney disease experience higher risk for progression to end stage kidney disease, which negatively impacts health, increases medical costs, and decreases quality of life. Objective: Determine if an audit and feedback intervention in a local nephrology clinic can increase provider adherence to a clinical practice guideline that supports the prescription of sodium glucose cotransporter‐2 inhibitors to delay progression of chronic kidney disease. Design: A pretest‐posttest design was used to determine if an audit and feedback tool delivered to providers at 3‐week intervals would increase provider adherence to the guideline recommendation over the course of 3 months. A clinical decision guide was provided to participants at the onset of the intervention with structured interviews accompanying the audit and feedback cycles. Participants: English speaking physicians and advanced practice providers were recruited from a local nephrology outpatient clinic in the southeastern United States. Measurements: To evaluate the significance of the intervention, a chi‐square test was used to evaluate the change in prescribing of SGLT‐2 inhibitors compared to the 3 months before the intervention. Logistic regression assisted with examining the relationship between the intervention and proportion of new SGLT‐2 inhibitor prescriptions. Results: In this setting, statistical analysis indicated that the intervention significantly increased prescription of SGLT‐2 inhibitors in adults with Type 2 diabetes and chronic kidney disease. Conclusion: The intervention significantly increased provider adherence to the clinical guideline. Additional implementation on a larger scale is warranted to validate findings and further investigate barriers to prescribing that were reported by participating providers. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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