Effectiveness of Multicomponent Interventions in Slowing Progression of CKD Stages G3-G4

Our findings suggest the potential role of MCIs in delaying CKD progression and improving glycemic control among patients with CKD G3-G4. Nonetheless, the certainty of evidence is low for eGFR and HbA1c and moderate for eGFR slope, suggesting overall modest clinical relevance. High-quality studies are needed to confirm the effectiveness, cost-effectiveness, and scalability of MCIs for this high-risk patient group.

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Publication Details

Journal
Clinical Journal of the American Society of Nephrology
Published
2026-02-17
DOI
https://doi.org/10.2215/cjn.0000000996
Primary Topic
Chronic Kidney Disease and Diabetes
Type
article
Field-Weighted Citation Impact
0.00
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article

Effectiveness of Multicomponent Interventions in Slowing Progression of CKD Stages G3-G4

Bolu Yang, Yong Li, Mihir Gandhi, Jie Tan et al.
Clinical Journal of the American Society of Nephrology
Chronic Kidney Disease and Diabetes
article

Effectiveness of Multicomponent Interventions in Slowing Progression of CKD Stages G3-G4

Bolu Yang, Yong Li, Mihir Gandhi, Jie Tan, Sibo Liu, Fahad Javaid Siddiqui, Chenxinan Ma, Tazeen H. Jafar, Lei Wu
article en

Abstract

Our findings suggest the potential role of MCIs in delaying CKD progression and improving glycemic control among patients with CKD G3-G4. Nonetheless, the certainty of evidence is low for eGFR and HbA1c and moderate for eGFR slope, suggesting overall modest clinical relevance. High-quality studies are needed to confirm the effectiveness, cost-effectiveness, and scalability of MCIs for this high-risk patient group.

Clinical Journal of the American Society of Nephrology
National University of Singapore (SG), Duke University (US), Shanghai Jiao Tong University (CN), Singapore General Hospital (SG), Wuhan University (CN), Duke Institute for Health Innovation (US), Duke-NUS Medical School (SG), Duke Kunshan University (CN), Singapore Clinical Research Institute (SG)
Good health and well-being
Openalex Percentile: Top 59%
Chronic Kidney Disease and Diabetes
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