Previously submitted to: Interactive Journal of Medical Research (no longer under consideration since Mar 14, 2024)
Date Submitted: Dec 23, 2022
Open Peer Review Period: Dec 23, 2022 - Feb 17, 2023
(closed for review but you can still tweet)
NOTE: This is an unreviewed Preprint
Warning: This is a unreviewed preprint (What is a preprint?). Readers are warned that the document has not been peer-reviewed by expert/patient reviewers or an academic editor, may contain misleading claims, and is likely to undergo changes before final publication, if accepted, or may have been rejected/withdrawn (a note "no longer under consideration" will appear above).
Peer review me: Readers with interest and expertise are encouraged to sign up as peer-reviewer, if the paper is within an open peer-review period (in this case, a "Peer Review Me" button to sign up as reviewer is displayed above). All preprints currently open for review are listed here. Outside of the formal open peer-review period we encourage you to tweet about the preprint.
Citation: Please cite this preprint only for review purposes or for grant applications and CVs (if you are the author).
Final version: If our system detects a final peer-reviewed "version of record" (VoR) published in any journal, a link to that VoR will appear below. Readers are then encourage to cite the VoR instead of this preprint.
Settings: If you are the author, you can login and change the preprint display settings, but the preprint URL/DOI is supposed to be stable and citable, so it should not be removed once posted.
Submit: To post your own preprint, simply submit to any JMIR journal, and choose the appropriate settings to expose your submitted version as preprint.
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
NAU - New Areas of Unifying interest for CKD. A multidisciplinary expert opinion using the Jandhyala method
ABSTRACT
Background:
The global prevalence of Chronic Kidney Disease (CKD) is rising exponentially, although its real prevalence is underestimated. We aimed to identify which areas related to CKD should be the subject of educational or research programs.
Objective:
The main goal of this study is to identify which areas related to CKD should be the subject of educational or research programs.
Methods:
Participants with experience in scientific production and who consider CKD as an area of interest were recruited (44 from primary care and 52 from secondary care) and divided into two groups. In the Awareness Round they answered four open short-answer questions leading to statements and in the Consensus Round they were asked to rate their level of agreement with the statements using a five-point Likert scale - the Jandhyala method.
Results:
In general, the results showed a low awareness of some entities, such as Polycystic kidney disease, glomerulopathies and acute kidney disease. Referral was the item where there was a lower consensus index, especially in primary care. Awareness and therapeutic inertia had a high awareness and consensus indexes, which represented a recognition of sometimes inadequate perception of the problem by colleagues and failure to apply appropriate diagnostic measures. The prescription of nephroprotective drugs, the avoidance of nephrotoxic drugs and referral had a low awareness index and a higher consensus and Index Score, while in secondary care, their index score was much lower.
Conclusions:
There is a need to advocate for equitable and affordable access to the entire spectrum of kidney care everywhere and more studies to assess and reassess cost-effectiveness of screening and treatment of CKD in the light of new therapeutics. Based on our results, there is a high likelihood of success in implementing outreach projects or initiatives focused on CKD literacy, referral and disease management.
Citation
Request queued. Please wait while the file is being generated. It may take some time.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.