Earticle

초록

영어

Background: Multidisciplinary team care (MTC) is a collaborative approach to treatment plan and ongoing care. We aimed to evaluate the clinical effect of MTC on the regulation of chronic kidney disease-mineral and bone disorder (CKD-MBD) complications in dialysis patients. Methods: This retrospective observational study was approved by the institutional review board. Among patients who have undergone dialysis at admission, the patients admitted to the nephrology ward were allocated to MTC group, and the others to usual care (UC) group. The MTC group had collaborative care by nephrologists, nurses, pharmacists, and nutritionists. The endpoints were the regulation of corrected calcium (cCa) and phosphate (P), the percent of patients in target level of cCa-P product (cCa×P), and the prescription rate of non-calcium based P-binders. Results: A total of 163 patients were included from January to December 2009. A significant difference was shown in the percentage of patients in target cCa×P level at admission (MTC vs. UC, 81.40% vs. 91.67%; P = 0.038), but there was no significant difference at discharge. During admission, the cCa and P levels of patients in only UC group were significantly changed. In addition, compared with UC group, patients in MTC group were more likely prescribed appropriate P-binders, when they had higher cCa×P levels than 55 mg2/dL2 (P <0.001). Conclusion: It was found that MTC had beneficial effect on improving the regulation of CKD-MBD and the appropriate phosphate binder uses. Therefore, application of the MTC is anticipated to enhance quality of clinical care in chronic diseases.

목차

ABSTRACT
 연구 방법
  연구 디자인 및 환자 모집
  자료 수집
  평가 변수
  통계 분석
 연구 결과
  입원 시 환자군 특성
  칼슘과 인의 곱 변화
  칼슘과 인의 변화
  적절한 약물 사용
 고찰
 결론
 감사의 말씀
 참고문헌

키워드

저자

• 한나영 [ Nayoung Han | 충남대학교 약학대학, 서울대학교 약학대학 ]
• 이상민 [ Sang-Min Lee | 서울대학교 약학대학 ]
• 홍진이 [ Jin Yi Hong | 서울대학교 약학대학 ]
• 노혜진 [ Hye Jin Noh | 서울대학교 약학대학 ]
• 지은희 [ Eunhee Ji | 서울대학교 약학대학, 가천대학교 약학대학 ]
• 송윤경 [ Yun-Kyoung Song | 서울대학교 약학대학 ]
• 송지윤 [ Jeeyoun Song | 서울대학교 약학대학 ]
• 김인화 [ In-Wha Kim | 서울대학교 약학대학 ]
• 김연수 [ Yon Su Kim | 서울대학교병원 신장내과 ]
• 오정미 [ Jung Mi Oh | 서울대학교 약학대학 ] Corresponding author

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  한국임상약학회지 [Korean Journal of Clinical Pharmacy]

• 간기

  계간

• pISSN

  1226-6051

• 수록기간

  1991~2026

• 등재여부

  KCI 등재

• 십진분류

  KDC 518 DDC 615