<--GAT-->

VA’s CKD Patients Lack Knowledge About Their Condition

by U.S. Medicine

November 5, 2015

CHICAGO — Chronic kidney disease (CKD) patients at the VA have insufficient knowledge about their condition, which is associated with poorer health outcomes, according to a recent study.

The report, published in the Clinical Kidney Journal, suggests that effective patient-provider communication can improve CKD patients’ knowledge and improve their participation in effective self-care.1

The study team, led by researchers from the Jesse Brown VAMC in Chicago, the Edward Hines Jr. VA Hospital in Hines, IL, and the University of Illinois at Chicago College of Medicine, notes, however, that barriers to addressing CKD patients’ information needs had not been characterized prior to this study.

For the study, researchers recruited veterans with an estimated glomerular filtration rate (eGFR) of <60 mL/min/1.73 m2 or on chronic dialysis or with a kidney transplant from a VA nephrology clinic. They then conducted semi-structured telephone interviews to assess patients’ CKD information needs and demographic characteristics with 32 participants, mostly male and non-Hispanic white, who averaged 63 years old.

CKD severity groups represented included CKD-3 (eGFR 30–59 mL/min/1.73 m2; 34%), CKD-4 (eGFR 15–29 mL/min/1.73 m2; 25%), CKD-5 (eGFR <15 mL/min/1.73 m2; 16%), end-stage kidney disease on dialysis (13%) and kidney transplant recipients (12%).

“Several key themes emerged about barriers to patient–provider communication based on patients’ reported care at both VA and non-VA facilities, including patients perceived their role as a ‘listener,’ reported limited CKD knowledge, did not understand physicians’ explanations and were dissatisfied with the patient-provider relationship,” study authors noted.

They called for future research to evaluate whether interventions that empower CKD patients to actively participate in their care increase knowledge and improve health outcomes.

1 Lederer S, Fischer MJ, Gordon HS, Wadhwa A, Popli S, Gordon EJ. Barriers to effective communication between veterans with chronic kidney disease and their healthcare providers. Clin Kidney J (2015) doi: 10.1093/ckj/sfv079 First published online: September 3, 2015


Comments are closed here.


Related Articles

VA Study Raises Questions About Value of Readmission Metrics

SAN FRANCISCO—While the VA performs well overall on key 30-day readmission rates, a study by researchers at the San Francisco VAMC questioned the utility of the measures for most of the health system’s hospitals. The... View Article

Three VAMC Campus Suicides in a Week Heighten Concerns About Prevention

WASHINGTON—Concern over the rate of veteran suicides reached a fever pitch last month after three veterans took their lives at VA facilities over a span of five days. Two of the deaths occurred in Georgia—one... View Article


U.S. Medicine Recommends


More From department of veterans affairs

Department of Veterans Affairs (VA)

VA Study Raises Questions About Value of Readmission Metrics

WASHINGTON—High turnover among leadership, gaps in accountability, and long-standing problems in cybersecurity represent significant challenges for VA in its ongoing efforts to improve its IT infrastructure, oversight officials told legislators last month. These challenges will... View Article

Department of Veterans Affairs (VA)

Three VAMC Campus Suicides in a Week Heighten Concerns About Prevention

WASHINGTON—High turnover among leadership, gaps in accountability, and long-standing problems in cybersecurity represent significant challenges for VA in its ongoing efforts to improve its IT infrastructure, oversight officials told legislators last month. These challenges will... View Article

Department of Veterans Affairs (VA)

VA Reverses Stance, Won’t Challenge ‘Blue Water’ Veteran Court Ruling

WASHINGTON—High turnover among leadership, gaps in accountability, and long-standing problems in cybersecurity represent significant challenges for VA in its ongoing efforts to improve its IT infrastructure, oversight officials told legislators last month. These challenges will... View Article

Department of Veterans Affairs (VA)

VA Continues Efforts to Reduce Drug Diversion; Focuses on Opiates

WASHINGTON—High turnover among leadership, gaps in accountability, and long-standing problems in cybersecurity represent significant challenges for VA in its ongoing efforts to improve its IT infrastructure, oversight officials told legislators last month. These challenges will... View Article

Department of Veterans Affairs (VA)

VA Struggles to Overcome Women’s Healthcare Disparities

WASHINGTON—High turnover among leadership, gaps in accountability, and long-standing problems in cybersecurity represent significant challenges for VA in its ongoing efforts to improve its IT infrastructure, oversight officials told legislators last month. These challenges will... View Article

Subscribe to U.S. Medicine Print Magazine

U.S. Medicine is mailed free each month to physicians, pharmacists, nurse practitioners, physician assistants and administrators working for Veterans Affairs, Department of Defense and U.S. Public Health Service.

Subscribe Now

Receive Our Email Newsletter

Stay informed about federal medical news, clinical updates and reports on government topics for the federal healthcare professional.

Sign Up