Preserving Kidney Function in Children with Chronic Kidney Disease (PRESERVE)
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Study intended to inform shared decision-making regarding blood pressure management for pediatric chronic kidney disease (CKD).
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The purpose of PRESERVE is to provide new knowledge to inform shared decision-making regarding blood pressure management for pediatric chronic kidney disease (CKD). Hypertension occurs in 50% of children with CKD and is a major risk factor for decline in kidney function. Several clinical practice guidelines have offered recommendations for blood pressure management in pediatric CKD; however, clinical trial and large-scale observational data are limited, leading to a weak evidence base and substantial practice variation. Specific aims of the study include enhancing the PCORnet Common Data Model for pediatric and rare kidney disease research; describing and examining the effectiveness of consistent blood pressure and urine protein monitoring for preserving kidney function; comparing the effectiveness of BP medication strategies for preserving kidney function; and assess patients’ lived experiences related to blood pressure management.
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Related Publications
Mitsnefes, Mark M. et al. 2023. “Derivation of paediatric blood pressure percentiles from electronic health records.” eBioMedicine , Volume 98, 104885.
DOI: 10.1016/j.ebiom.2023.104885
Denburg, Michelle R. et al. 2023. “The Preserving Kidney Function in Children With CKD (PRESERVE) Study: Rationale, Design, and Methods”. Kidney Medicine , Volume 5, Issue 11, 100722.
DOI: 10.1016/j.xkme.2023.100722
Razzaghi H., Goodwin Davies A., Boss S., Bunnell H.T., Chen Y., et al. 2024. “Systematic data quality assessment of electronic health record data to evaluate study-specific fitness: Report from the PRESERVE research study.” PLOS Digital Health 3(6): e0000527.
DOI: 10.1371/journal.pdig.0000527