Is the Canadian legal framework too restrictive and based on false premises?
(Source: Canadian Journal of Kidney Health and Disease)
Source: Canadian Journal of Kidney Health and Disease - May 29, 2014 Category: Urology & Nephrology Source Type: research

Evaluating the implementation strategy for estimated glomerular filtration rate reporting in Manitoba: the effect on referral numbers, wait times, and appropriateness of consults
Conclusion Despite our educational intervention, the inappropriate referrals remained high, and wait times increased. Other systemic interventions should be considered to attenuate the potential negative effects of eGFR reporting and ensure timely access for patients needing specialist consultation. (Source: Canadian Journal of Kidney Health and Disease)
Source: Canadian Journal of Kidney Health and Disease - May 22, 2014 Category: Urology & Nephrology Source Type: research

Foundations and principles of the Canadian living donor paired exchange program
Abstract Purpose of review Kidney paired donation (KPD) remains an important strategy to facilitate transplantation in patients who have a healthy and willing donor, but are unable to proceed with directed donation due to either ABO incompatibility or a positive cross-match against their intended donor. Sources of information Personal knowledge, The Canadian Blood Services Database for Living Donor Exchange, published reports and personal communications. ...
Source: Canadian Journal of Kidney Health and Disease - May 20, 2014 Category: Urology & Nephrology Source Type: research

The Canadian Society of Nephrology methods in developing and adapting clinical practice guidelines: a review
Conclusion The CSN follows a comprehensive process in identifying priority areas to be addressed in CPGs. In 2010, the CSN adopted GRADE, which enhanced the rigor and transparency of guideline development. This process focuses on systematically identifying best available evidence and carefully assessing its quality, balancing benefits and harms, considering patients’ and societies’ values and preferences, and when possible considering resource implications. Recent partnership allows wider dissemination and implementation among end users and evaluation of the effects of CPG and commentaries on the ...
Source: Canadian Journal of Kidney Health and Disease - May 12, 2014 Category: Urology & Nephrology Source Type: research

Views of Canadian patients on or nearing dialysis and their caregivers: a thematic analysis
Conclusions Patients on or nearing dialysis and their caregivers identified four major themes, gaining knowledge, maintaining quality of life, sustaining psychosocial wellbeing and ensuring appropriate care, several of which could be addressed by the health care system without requiring significant resources. These include the development of patient materials and resources, or sharing of existing resources across Canadian renal programs, along with adopting better communication strategies. Other concerns, such as the need for increased psychosocial and financial support, require consideration by healt...
Source: Canadian Journal of Kidney Health and Disease - April 7, 2014 Category: Urology & Nephrology Source Type: research

Establishing a national knowledge translation and generation network in kidney disease: the CAnadian KidNey KNowledge TraNslation and GEneration NeTwork
Abstract Patients with chronic kidney disease (CKD) do not always receive care consistent with guidelines, in part due to complexities in CKD management, lack of randomized trial data to inform care, and a failure to disseminate best practice. At a 2007 conference of key Canadian stakeholders in kidney disease, attendees noted that the impact of Canadian Society of Nephrology (CSN) guidelines was attenuated given limited formal linkages between the CSN Clinical Practice Guidelines Group, kidney researchers, decision makers and knowledge users, and that further knowledge was required to guide care in pat...
Source: Canadian Journal of Kidney Health and Disease - April 7, 2014 Category: Urology & Nephrology Source Type: research

An assessment of dialysis provider’s attitudes towards timing of dialysis initiation in Canada
Conclusions Although the majority of nephrologists in Canada who responded followed evidence-based practice regarding the timing of dialysis initiation, knowledge gaps and areas of clinical uncertainty exist. The implementation and evaluation of formal policies and knowledge translation activities may limit potentially unnecessary early dialysis initiation. (Source: Canadian Journal of Kidney Health and Disease)
Source: Canadian Journal of Kidney Health and Disease - April 7, 2014 Category: Urology & Nephrology Source Type: research

Canadian Journal of Kidney Health and Disease: a unique launch of a unique journal
Abstract Usually inaugural editorials are written by the Editor-in-Chief to describe the scope and vision for the journal to potential authors and readers. This editorial is written by the Editor-in-Chief, the Deputy Editors and the Associate Editors collaboratively as a clear signal that this is a unique and different journal. We will build this journal on a set of principles which are fundamental to improving the outcomes of patients with kidney disease. To that end, we aim to be supportive, to collaborate, to integrate multiple perspectives and to be open to possibilities. (Source: Canadian Journal o...
Source: Canadian Journal of Kidney Health and Disease - April 7, 2014 Category: Urology & Nephrology Source Type: research