title: Focused clinical campaign improves mineral and bone disorder outcomes.
abstract: As with other disease states, mineral and bone disorder (MBD) management is challenging and may benefit from more systematic management. To evaluate the effectiveness of a focused campaign to improve MBD outcomes, we compared the percentage of patients meeting 2003 Kidney Dialysis Outcomes Quality Initiative (KDOQI)-recommended MBD targets between baseline and 18 months after programme initiation. The four components of the clinical campaign were: (1) a set of grids allowing simultaneous evaluation of MBD test results, (2) a weighted, facility-level cumulative scoring system representing percent of patients within KDOQI-recommended MBD targets, (3) team involvement and (4) patient education. Eighteen months after programme initiation, the percent of patients simultaneously meeting all 2003 KDOQI targets increased 7% and the percent meeting calcium and phosphorus targets increased 24% and 8%, respectively. These findings suggest that a coordinated clinical campaign with effective tools, outcome tracking and sharing and team involvement is an effective strategy to improve MBD outcomes.
authors.affiliation: DaVita National Nutrition, Irvine, CA 92618, USA. Debbie.Benner@DaVita.com
authors.forename: Debbie
authors.initials: D
authors.lastname: Benner
authors.forename: Allen R
authors.initials: AR
authors.lastname: Nissenson
authors.forename: David
authors.initials: D
authors.lastname: Van Wyck
mesh_terms: D001851:Bone Diseases, Metabolic / Q000628:therapy*; D002118:Calcium / Q000097:blood; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008297:Male; D008903:Minerals / Q000097:blood; D010348:Patient Care Team; D010353:Patient Education as Topic / Q000379:methods*; D010758:Phosphorus / Q000097:blood; D015397:Program Evaluation; D006435:Renal Dialysis; D016896:Treatment Outcome
chemical_list: D008903:Minerals; D010758:Phosphorus; D002118:Calcium