MedPage Today April 3, 2024
— Secondary outcomes also showed no significant differences
Using a personalized algorithm to identify primary care patients with chronic kidney disease (CKD), type 2 diabetes, and hypertension (the kidney-dysfunction triad) — plus practice facilitators to help providers deliver guideline-based interventions — didn’t move the needle for reducing hospitalizations, the ICD-Pieces study found.
At 1 year, the hospitalization rate of patients in the intervention group was about the same as that with usual care (20.7% vs 21.1%, P=0.58), Miguel Vazquez, MD, of University of Texas Southwestern Medical Center in Dallas, and colleagues reported in the New England Journal of Medicine.
While the intervention missed the mark for cutting hospitalizations, Vazquez underscored the importance of improving care for patients with the kidney-dysfunction...