Impact on Renal Function of a Multidisciplinary Intervention in Primary Health Care

Abstract

Objective: to evaluate the effectiveness of the Operations Manual protocol of the Specialties Medical Units for Chronic Diseases (unemes ec) by analyzing the evolution of renal function and risk factors for progression, during one year, in 376 referred diabetic patients by a health centers network. Methods: 70 patients diagnosed with chronic kidney disease (ckd) (initial glomerular filtration rate ≤59 ml/min/1.73 m2), and 306 patients without the disease (initial glomerular filtration rate ≥60 ml/min/1.73 m2) were analyzed, in whom the initial and final values of systolic blood pressure, diastolic blood pressure, total cholesterol, high density lipoproteins, low density lipoproteins, Hb1Ac, weight, body mass index, plasma creatinine, and glomerular filtration rate were compared. Results: patients with chronic kidney disease improved their renal function between 1 and 9 ml/min/1.73 m2 with 95% confidence level, patients without ckd did not present changes; the significant risk factor was body mass index. Conclusion: the application of the norms by a multidisciplinary group improved renal function in patients with ckd and prevented its deterioration in patients without ckd.