{"id":18899,"date":"2024-09-11T15:06:29","date_gmt":"2024-09-11T15:06:29","guid":{"rendered":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/?p=18899"},"modified":"2024-09-11T15:07:50","modified_gmt":"2024-09-11T15:07:50","slug":"pilot-programme-for-patients-with-chronic-kidney-disease-will-be-expanded-following-its-success","status":"publish","type":"post","link":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/pilot-programme-for-patients-with-chronic-kidney-disease-will-be-expanded-following-its-success\/","title":{"rendered":"Program pilota\u017cowy dla pacjent\u00f3w z przewlek\u0142\u0105 chorob\u0105 nerek zostanie rozszerzony po jego sukcesie"},"content":{"rendered":"<p>Program pilota\u017cowy dla os\u00f3b \u017cyj\u0105cych z przewlek\u0142\u0105 chorob\u0105 nerek w miastach Leicester, Leicestershire i Rutland (LLR) pomaga zrewolucjonizowa\u0107 opiek\u0119 nad pacjentami i m\u00f3g\u0142by zosta\u0107 wdro\u017cony tak\u017ce w innych miejscach.<\/p>\n\n\n\n<p>Raport ten opiera si\u0119 na ustaleniach niezale\u017cnego raportu dotycz\u0105cego zintegrowanego programu opieki nad osobami z przewlek\u0142\u0105 chorob\u0105 nerek (LUCID) LLR, w kt\u00f3rym opisano sukces pilota\u017cu. Zosta\u0142 on opracowany w ramach wsp\u00f3lnej inicjatywy roboczej oddzia\u0142u nefrologii Johna Wallsa, UHL i firmy AstraZeneca UK.<\/p>\n\n\n\n<p>Podej\u015bcie LUCID polega na wsp\u00f3\u0142pracy lekarzy rodzinnych, konsultant\u00f3w nefrologicznych, farmaceut\u00f3w klinicznych, specjalist\u00f3w przepisuj\u0105cych leki, personelu zajmuj\u0105cego si\u0119 danymi oraz specjalist\u00f3w w ramach wielodyscyplinarnego zespo\u0142u. Pozwala to na dog\u0142\u0119bn\u0105 dyskusj\u0119 na temat planu opieki nad ka\u017cdym pacjentem, aby mie\u0107 pewno\u015b\u0107, \u017ce uwzgl\u0119dnia on wszystkie aspekty jego zdrowia, zmniejszaj\u0105c ryzyko zawa\u0142\u00f3w serca i udar\u00f3w m\u00f3zgu, op\u00f3\u017aniaj\u0105c konieczno\u015b\u0107 dializoterapii i zapobiegaj\u0105c wizytom w szpitalu. <a><\/a><\/p>\n\n\n\n<p>Przewlek\u0142a choroba nerek (CKD) to przewlek\u0142a choroba, w kt\u00f3rej stopniowa utrata funkcji nerek z czasem powoduje, \u017ce staj\u0105 si\u0119 one mniej skuteczne w filtrowaniu produkt\u00f3w przemiany materii z krwi. Szacuje si\u0119, \u017ce w Wielkiej Brytanii oko\u0142o 7,2 miliona ludzi \u017cyje z CKD w stadiach 1\u20135.<sup>1<\/sup> Choroby nerek kosztuj\u0105 gospodark\u0119 Wielkiej Brytanii 7 miliard\u00f3w funt\u00f3w rocznie i mog\u0105 wzrosn\u0105\u0107 do 13,9 miliarda funt\u00f3w w ci\u0105gu zaledwie dziesi\u0119ciu lat.<\/p>\n\n\n\n<p>Dr Rupert Major, profesor nadzwyczajny na Uniwersytecie w Leicester i honorowy konsultant nefrolog w University Hospital of Leicester NHS Trust, kt\u00f3ry by\u0142 wsp\u00f3\u0142tw\u00f3rc\u0105 LUCID, powiedzia\u0142: \u201eChoroba nerek to <a href=\"https:\/\/www.kidneyresearchuk.org\/2023\/06\/05\/kidney-disease-is-a-public-health-emergency-that-threatens-to-overwhelm-the-nhs-major-new-report-reveals\/\">stan zagro\u017cenia zdrowia publicznego<\/a> a LUCID, wsp\u00f3\u0142praca mi\u0119dzy University Hospitals of Leicester i Leicester, Leicestershire and Rutland Integrated Care System, wykaza\u0142a jej kliniczne znaczenie w zapewnianiu bardziej zintegrowanej opieki osobom \u017cyj\u0105cym z chorobami nerek.<\/p>\n\n\n\n<p>\u201eWcze\u015bniejsze wykrywanie i interwencja w przypadku choroby nerek ma kluczowe znaczenie dla zmniejszenia ryzyka zar\u00f3wno konieczno\u015bci dializy lub przeszczepu nerki, jak i atak\u00f3w serca i udar\u00f3w, kt\u00f3re s\u0105 cz\u0119stsze w przypadku choroby nerek. Oba maj\u0105 g\u0142\u0119boki wp\u0142yw na jako\u015b\u0107 i d\u0142ugo\u015b\u0107 \u017cycia, dlatego cieszymy si\u0119, \u017ce ten niezale\u017cny raport wykaza\u0142 korzy\u015bci p\u0142yn\u0105ce z podej\u015bcia LUCID i nie mo\u017cemy si\u0119 doczeka\u0107, aby podzieli\u0107 si\u0119 nim w ca\u0142ym regionie i na szczeblu krajowym\u201d.<\/p>\n\n\n\n<p>Ocena pilota\u017cu, kt\u00f3ra rozpocz\u0119\u0142a si\u0119 w kwietniu 2022 r., obj\u0119\u0142a badania przeprowadzone w 54 klinikach w dziewi\u0119ciu sieciach podstawowej opieki zdrowotnej (PCN), obejmuj\u0105cych znaczn\u0105 cz\u0119\u015b\u0107 LLR.<\/p>\n\n\n\n<p>LUCID wnosi wiedz\u0119 specjalistyczn\u0105 konsultant\u00f3w do opieki podstawowej poprzez zwi\u0119kszenie edukacji, narz\u0119dzie do identyfikacji pacjent\u00f3w wysokiego ryzyka oraz kliniki LUCID wspieraj\u0105ce zarz\u0105dzanie pacjentami, w kt\u00f3rych lekarze podstawowej opieki zdrowotnej, w tym farmaceuci i piel\u0119gniarki, zostali przeszkoleni przez konsultant\u00f3w.<\/p>\n\n\n\n<p>Raport ewaluacyjny sfinansowany przez Health Innovation East Midlands i sporz\u0105dzony przez firm\u0119 zajmuj\u0105c\u0105 si\u0119 analityk\u0105 opieki zdrowotnej, Edge Health, stwierdza, \u017ce LUCID:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Doprowadzi\u0142o to do lepszych wynik\u00f3w klinicznych, pacjenci otrzymywali szybsze skierowania i wcze\u015bniejsz\u0105 interwencj\u0119, co spowalnia\u0142o post\u0119p choroby.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Wi\u0119ksze zadowolenie pacjent\u00f3w i wi\u0119ksze zaufanie do opieki.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Szersze wykorzystanie zalecanego przez NICE r\u00f3wnania ryzyka niewydolno\u015bci nerek (KFRE), sprawdzonego narz\u0119dzia do przewidywania ryzyka w przypadku terapii nerkozast\u0119pczej (dializy lub przeszczepu nerki) u os\u00f3b z PChN.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Wi\u0119ksza \u015bwiadomo\u015b\u0107 pacjent\u00f3w na temat radzenia sobie ze swoim schorzeniem, co przek\u0142ada si\u0119 na wi\u0119ksze zaanga\u017cowanie w leczenie i lepsz\u0105 jako\u015b\u0107 \u017cycia.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Szacunkowe korzy\u015bci finansowe wynosz\u0105 1200 funt\u00f3w na klinik\u0119 LUCID, co wzro\u015bnie do szacowanych korzy\u015bci finansowych wynosz\u0105cych nieco poni\u017cej 3 milion\u00f3w funt\u00f3w rocznie, je\u015bli model LUCID zostanie wdro\u017cony na ca\u0142ym obszarze East Midlands w perspektywie \u015brednio- i d\u0142ugoterminowej.<\/li>\n<\/ul>\n\n\n\n<p>Planowane jest nie tylko szersze rozszerzenie programu pilota\u017cowego na ca\u0142y region, ale tak\u017ce obj\u0119cie nim pacjent\u00f3w cierpi\u0105cych na inne przewlek\u0142e schorzenia.<\/p>\n\n\n\n<p>Michael Ellis, starszy kierownik ds. innowacji w Health Innovation East Midlands, powiedzia\u0142: \u201eOcena wykaza\u0142a, \u017ce lepsza integracja opieki podstawowej i specjalistycznej w przypadku tego schorzenia pozytywnie wp\u0142ywa na wyniki leczenia pacjent\u00f3w\u201d.<\/p>\n\n\n\n<p>Profesor Michael Steiner, zast\u0119pca dyrektora medycznego NHS Leicester, Leicestershire and Rutland Integrated Care Board (ICB), powiedzia\u0142: \u201eCo wa\u017cne, program ten oferuje popraw\u0119 jako\u015bci opieki, kt\u00f3ra mo\u017ce by\u0107 \u015bwiadczona pacjentom w ich w\u0142asnych spo\u0142eczno\u015bciach dzi\u0119ki innowacyjnej wsp\u00f3\u0142pracy mi\u0119dzy zespo\u0142ami podstawowej opieki zdrowotnej i specjalist\u00f3w\u201d.<\/p>\n\n\n\n<p>Dr Ed Piper, dyrektor ds. medycznych i naukowych w AstraZeneca UK, powiedzia\u0142: \u201eJestem podekscytowany niesamowitym potencja\u0142em rozszerzenia tego projektu na inne regiony. Wp\u0142yw, jaki ju\u017c widzieli\u015bmy podczas tego pilota\u017cu, mo\u017ce prze\u0142o\u017cy\u0107 si\u0119 na jeszcze wi\u0119ksz\u0105 liczb\u0119 pacjent\u00f3w korzystaj\u0105cych z lepszej opieki i wynik\u00f3w. To znakomity przyk\u0142ad tego, jak partnerstwa mi\u0119dzy NHS a przemys\u0142em mog\u0105 skutkowa\u0107 lepszymi do\u015bwiadczeniami pacjent\u00f3w\u201d.<\/p>\n\n\n\n<p>Dr Aisling McMahon, dyrektor wykonawczy ds. bada\u0144 w Kidney Research UK, uwa\u017ca, \u017ce \u201ekonieczne\u201d jest znalezienie nowych sposob\u00f3w na wcze\u015bniejsze wykrywanie i zapobieganie, aby \u201eunikn\u0105\u0107 znacznego obci\u0105\u017cenia zwi\u0105zanego z dializami\u201d.<\/p>\n\n\n\n<p>Fiona Loud, dyrektor ds. polityki w Kidney Care UK, nazwa\u0142a program LUCID \u201enowatorskim i ekscytuj\u0105cym\u201d.<\/p>\n\n\n\n<p>Doda\u0142a: \u201eTo pokazuje, \u017ce wprowadzaj\u0105c proste zmiany, mo\u017cemy pom\u00f3c zidentyfikowa\u0107 osoby zagro\u017cone, zapewni\u0107 im odpowiednie badania i zaoferowa\u0107 interwencje, kt\u00f3re pomog\u0105 op\u00f3\u017ani\u0107 pogorszenie si\u0119 stanu zdrowia nerek\u201d. &nbsp;<\/p>\n\n\n\n<p>LUCID zosta\u0142 nominowany w dw\u00f3ch kategoriach presti\u017cowego krajowego konkursu Health Service Journal Awards (HSJ), kt\u00f3ry docenia wybitny wk\u0142ad w opiek\u0119 zdrowotn\u0105. Kategorie to: Integrated Care Initiative of the Year oraz Medicines, Pharmacy and Prescribing Initiative of the Year.<\/p>\n\n\n\n<p>*Kopi\u0119 raportu z oceny mo\u017cna uzyska\u0107 na \u017c\u0105danie<\/p>\n\n\n\n<p><em>Odno\u015bniki: strona internetowa Kidney Care UK, najwa\u017cniejsze fakty dotycz\u0105ce nerek, dost\u0119p 21<sup>st<\/sup> sierpie\u0144 2024 r. <\/em><a href=\"https:\/\/kidneycareuk.org\/kidney-disease-information\/about-kidney-health\/facts-about-kidneys\/\"><em>https:\/\/kidneycareuk.org\/kidney-disease-information\/about-kidney-health\/facts-about-kidneys\/<\/em><\/a><\/p>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>A pilot programme for people living with Chronic Kidney Disease in Leicester, Leicestershire and Rutland (LLR) is helping to revolutionise patient care and could be rolled out elsewhere. It follows [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":1798,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[15],"tags":[],"class_list":["post-18899","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-press-releases"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Pilot programme for patients with Chronic Kidney Disease will be expanded following its success - LLR ICB<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/pilot-programme-for-patients-with-chronic-kidney-disease-will-be-expanded-following-its-success\/\" \/>\n<meta property=\"og:locale\" content=\"pl_PL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pilot programme for patients with Chronic Kidney Disease will be expanded following its success - LLR ICB\" \/>\n<meta property=\"og:description\" content=\"A pilot programme for people living with Chronic Kidney Disease in Leicester, Leicestershire and Rutland (LLR) is helping to revolutionise patient care and could be rolled out elsewhere. 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