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Table 1 Potential roles for an interdisciplinary care clinic in CKD (modeled on montefiore medical center kidney care program)

From: Interdisciplinary care clinics in chronic kidney disease

Nephrologist

Evaluates etiology of CKD and determines the care plan

Advanced practitioner

Educates about CKD and kidney failure treatment options

Coordinates care with family and members of the IDC team

Dietitian

Dietary counseling and fluid management

Pharmacist

Reviews medications, dosing, and adherence

Educates patients about the use of over the counter medications and herbal preparations

Geriatrician/palliative care

Addresses geriatric and palliative care needs

Discusses prognosis and ensures treatment plans align with goal of care

Case management/social work

Assists patients to obtain needed resources (e.g., transportation and issues with housing)

Transplant team

Educates patients about transplant options

Evaluates potential transplant candidates with progressive CKD

Vascular surgery/general surgery

Places and monitors access for dialysis (hemodialysis and peritoneal dialysis)

Interventional radiology

Intervenes on immature or nonfunctioning AVG/AVF to improve access flow in order to initiate dialysis

  1. IDC interdisciplinary care clinic, AVG arteriovenous graft, AVF arteriovenous fistula