A systems-based approach to managing blood pressure in children following kidney transplantation.
Hypertension is one of the most common and well-known complications following kidney transplantation in children. Yet, despite numerous available therapies many pediatric kidney transplant recipients continue to have poorly controlled blood pressure, suggesting that traditional approaches to blood pressure management in this population might be inadequate. Over the last two decades, the Chronic Care Model has been developed to improve chronic illness outcomes through delivery system design and clinical information systems that support patient self-management and provider decision-making. In this educational review we discuss key elements of managing blood pressure following pediatric kidney transplantation and suggest ways that they may be reliably implemented into clinical practice using principles from the Chronic Care Model.
Division of Nephrology and Hypertension, MLC 7022, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 45229, USA. david.hooper@cchmc.org.|James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. david.hooper@cchmc.org.|Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA. david.hooper@cchmc.org.
David K
DK
Hooper
Division of Nephrology and Hypertension, MLC 7022, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 45229, USA.|Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Mark
M
Mitsnefes
D000293:Adolescent; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001794:Blood Pressure; D002648:Child; D002675:Child, Preschool; D006801:Humans; D006977:Hypertension, Renal / Q000188:drug therapy / Q000209:etiology / Q000628:therapy*; D007223:Infant; D016030:Kidney Transplantation / Q000009:adverse effects* / Q000379:methods*; D010372:Pediatrics / Q000379:methods*; D049490:Systems Biology
D000959:Antihypertensive Agents
Ambulatory blood pressure monitoring; Chronic care model; Healthcare systems; Home blood pressure monitoring; Hypertension; Kidney transplant