{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T22:23:07Z","timestamp":1765837387452,"version":"3.48.0"},"reference-count":9,"publisher":"BMJ","issue":"3","license":[{"start":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T00:00:00Z","timestamp":1742774400000},"content-version":"unspecified","delay-in-days":23,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100024171","name":"UK Kidney Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100024171","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Kidney Care UK"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,2,24]]},"published-print":{"date-parts":[[2025,3]]},"abstract":"\n Introduction<\/jats:title>\n \n Multidisciplinary advanced kidney care (AKC) services provide care to patients with advanced chronic kidney disease (CKD) (typically estimated glomerular filtration rate (eGFR) \u226420 mls\/min\/1.73m\n 2<\/jats:sup>\n ), as symptoms and complications become more common, also in preparation for kidney failure treatments. Despite their prominence in UK renal services, there is no consensus around the best practice for AKC services in terms of care delivery models or interventions to optimise patient care, and there is widespread geographical variation in practice. The UK Kidney Association Kidney Quality Improvement Partnership has launched a 3-year \u2018Transform AKC\u2019 quality improvement project to address unmet needs in AKC services and work towards improvement. This scoping review is part of the Transform AKC project and aims to identify existing evidence for the current and best practice in AKC. The aim of this review is to establish any evidence that demonstrates best practice models of care and interventions to optimise care for adult patients with advanced CKD.\n <\/jats:p>\n <\/jats:sec>\n \n Methods and analysis<\/jats:title>\n We will undertake a scoping review seeking to identify and evaluate evidence that demonstrated best practice for care of adults with advanced CKD. Databases (Medline and Embase) will be searched systematically (search dates from 1 January 2014 to 8 August 2024), and a final list of included studies will be analysed and synthesised.<\/jats:p>\n <\/jats:sec>\n \n Ethics and dissemination<\/jats:title>\n We will use robust methodology to identify the existing literature describing the best practices in care of adults with advanced CKD. These findings will directly inform the \u2018Transform AKC\u2019 national quality improvement project, in which this scoping review is embedded. Findings will also be disseminated through national conferences and will be published in a relevant journal.<\/jats:p>\n <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-096935","type":"journal-article","created":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T01:54:33Z","timestamp":1742867673000},"page":"e096935","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Identifying interventions to optimise advanced kidney care services: scoping review protocol"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3723-2107","authenticated-orcid":false,"given":"Robert","family":"Kimmitt","sequence":"first","affiliation":[{"name":"Biomedical Sciences, University of Exeter, Exeter, UK"},{"name":"Exeter Kidney Unit, Royal Devon University Healthcare NHS Foundation Trust, Exeter, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hugh","family":"Leonard","sequence":"additional","affiliation":[{"name":"Renal Unit, King\u2019s College Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0108-3889","authenticated-orcid":false,"given":"Oshini","family":"Shivakumar","sequence":"additional","affiliation":[{"name":"Imperial College London Institute of Global Health Innovation, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Storms","sequence":"additional","affiliation":[{"name":"Library & Knowledge Service, Northern Care Alliance NHS Foundation Trust, Salford, Greater Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Stansfield","sequence":"additional","affiliation":[{"name":"Library & Knowledge Service, Northern Care Alliance NHS Foundation Trust, Salford, Greater Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Hurst","sequence":"additional","affiliation":[{"name":"School of Health and Society, University of Salford, Salford, Greater Manchester, UK"},{"name":"Department of Renal Medicine, Salford Royal Hospital, Northern Care Alliance NHS Foundation Trust, Salford, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosemary","family":"Donne","sequence":"additional","affiliation":[{"name":"Department of Renal Medicine, Salford Royal Hospital, Northern Care Alliance NHS Foundation Trust, Salford, Manchester, UK"},{"name":"School of Cardiovascular Sciences, The University of Manchester, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,3,24]]},"reference":[{"key":"2025121514212645000_15.3.e096935.1","unstructured":"Lipkin G , McKane W . Getting it right first time: Renal medicine. GIRFT Programme National Specialty Report, 2021. Available: https:\/\/gettingitrightfirsttime.co.uk\/wp-content\/uploads\/2021\/09\/Renal-Medicine-Sept21k.pdf"},{"key":"2025121514212645000_15.3.e096935.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.kint.2023.10.016"},{"key":"2025121514212645000_15.3.e096935.3","unstructured":"National Institute for Health and Care Excellence . NICE guideline NG107 - Renal replacement therapy and conservative management, London, UK, 2018. Available: https:\/\/www.nice.org.uk\/guidance\/ng107\/"},{"key":"2025121514212645000_15.3.e096935.4","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.451"},{"key":"2025121514212645000_15.3.e096935.5","doi-asserted-by":"crossref","DOI":"10.1177\/2054358119882667","article-title":"Multidisciplinary Chronic Kidney Disease Clinic Practices: A Scoping Review","volume":"6","author":"Collister","year":"2019","journal-title":"Can J Kidney Health Dis"},{"key":"2025121514212645000_15.3.e096935.6","doi-asserted-by":"publisher","DOI":"10.1080\/1364557032000119616"},{"key":"2025121514212645000_15.3.e096935.7","doi-asserted-by":"publisher","DOI":"10.7326\/M18-0850"},{"key":"2025121514212645000_15.3.e096935.8","doi-asserted-by":"crossref","DOI":"10.1186\/s13643-015-0163-7","article-title":"All in the Family: systematic reviews, rapid reviews, scoping reviews, realist reviews, and more","volume":"4","author":"Moher","year":"2015","journal-title":"Syst Rev"},{"key":"2025121514212645000_15.3.e096935.9","doi-asserted-by":"publisher","DOI":"10.1097\/acm.0000000000001452"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2024-096935","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T22:21:33Z","timestamp":1765837293000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2024-096935"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":9,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,3,24]]},"published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1136\/bmjopen-2024-096935"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2024-096935","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"type":"print","value":"2044-6055"},{"type":"electronic","value":"2044-6055"}],"subject":[],"published":{"date-parts":[[2025,3]]}}}