Perspectives

State Advisory Council: Stakeholders’ Perspective for Shaping the Future of Chronic Kidney Disease Patients in Arkansas

Authors: Fatima Ayub, MD, Andrea K. Easom, MNSc, APRN, Manisha Singh, MD

Abstract

The US Renal Data System (USRDS) reports that 15% of the adult US population has chronic kidney disease (CKD), whereas only 10% of those with CKD know that they have it.1 Timely interventions can prevent the debilitating effects of CKD. This perspective aims to share the experience of an innovative platform created by state stakeholders to address CKD in Arkansas, one of the top 10 rural states in the United States. The platform is called the Arkansas State CKD Advisory Council (ARCKDAC) and was designed to address the various barriers that patients with CKD face in obtaining optimal and timely care and devise methods for addressing a managing team comprising physicians, advanced practitioners, dietitians, pharmacists, insurance company representatives, public health experts, and patient representatives.
Posted in: Nephrology and Urology22 Chronic Kidney Disease3

This content is limited to qualifying members.

Existing members, please login first

If you have an existing account please login now to access this article or view purchase options.

Purchase only this article ($25)

Create a free account, then purchase this article to download or access it online for 24 hours.

Purchase an SMJ online subscription ($75)

Create a free account, then purchase a subscription to get complete access to all articles for a full year.

Purchase a membership plan (fees vary)

Premium members can access all articles plus recieve many more benefits. View all membership plans and benefit packages.

References

1. Collins AJ, Foley RN, Gilbertson DT, et al. United States Renal Data System public health surveillance of chronic kidney and end-stage renal disease. Kidney Int Suppl 2015;5:2–7.
 
2. Easom AM, Shukla AM, Rotaru D, et al. Home run—results of a chronic kidney disease telemedicine patient education study. Clin Kidney J 2019; 13:867–872.
 
3. University of Arkansas for Medical Sciences. Know your kidney number: advisory council. https://knowyourkidneynumber.uams.edu/advisory-council/. Accessed July 24, 2023.
 
4. United States Renal Data System. 2018 USRDS Annual Data Report: Epidemiology of kidney disease in the United States. Bethesda, MD: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases. 2018. Available at: https://www.niddk.nih.gov/about-niddk/strategic-plans-reports/usrds/prior-data-reports/2018. Accessed September 20, 2023.
 
5. US Renal Data System 2016 annual data report: epidemiology of kidney disease in the United States. Am J Kidney Dis 2017;69(3suppl 1):A4.
 
6. Shukla AM, Easom A, Singh M, et al. Effects of a comprehensive predialysis education program on the home dialysis therapies: a retrospective cohort study. Perit Dial Int 2017;37:542–547.
 
7. Nichols GA, Ustyugova A, Déruaz-Luyet A, et al. Health care costs by type of expenditure across eGFR stages among patients with and without diabetes, cardiovascular disease, and heart failure. J Am Soc Nephrol 2020; 31:1594–1601.
 
8. Krahn MD, Bremmer KE, de Oliveira C, et al. Home dialysis is associated with lower costs and better survival than other modalities: a population-based study in Ontario, Canada. Perit Dial Int 2019;39:553–561.
 
9. World Population Review. Most rural states. https://worldpopulationreview.com/state-rankings/most-rural-states. Updated September 2022. Accessed July 24, 2023.
 
10. Plantinga LC, Tuot DS, Powe NR. Awareness of chronic kidney disease among patients and providers. Adv Chronic Kidney Dis 2010;17:225–236.