Using prognostic models to improve the quality of care for patients with chronic kidney disease in primary care settings
- Authors: Zhmurov V.A.1, Ermakova P.A.1, Ermakova A.A.1, Zhmurov D.V.1, Tolstoukhova N.V.1
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Affiliations:
- Tyumen Medical University
- Issue: Vol 18, No 1 (2026)
- Pages: 44-49
- Section: Original Articles
- Published: 11.03.2026
- URL: https://journals.eco-vector.com/2075-3594/article/view/704044
- DOI: https://doi.org/10.18565/nephrology.2026.1.44-49
- ID: 704044
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Abstract
Objective. Determination of the clinical significance of current prognostic models (using the Cox prognostic model as an example) and their use in practical healthcare to improve the life expectancy and quality of life of patients with chronic kidney disease (CKD).
Materials and methods. The study analyzed clinical and laboratory data from 70 CKD patients in the Internal Medicine Department of a City Outpatient Clinic in the Tyumen region. Clinical, laboratory, and instrumental parameters were assessed. indicators that predict CKD progression were calculated, followed by the formation of the Cox prognostic model.
Results. Using the Cox prognostic model, groups of CKD patients with low, moderate, and high risk of disease progression were identified, which is a more accurate prognostic method compared to routine patient questionnaires. The prognostic model, using statistically reliable criteria, demonstrated its effectiveness and utility in healthcare practice for assessing the rate of CKD progression.
Conclusion. Adapting the Cox model for outpatient practice is an important step toward improving the quality of CKD patient monitoring.
About the authors
Vladimir A. Zhmurov
Tyumen Medical University
Author for correspondence.
Email: zhmdenis@yandex.ru
Dr.Sci. (Med.), Professor, Head of the Department of Propaedeutics of Internal Medicine
Russian Federation, TyumenPolina A. Ermakova
Tyumen Medical University
Email: zhmdenis@yandex.ru
Teaching Assistant, Department of Propaedeutics of Internal Medicine
Russian Federation, TyumenAnna A. Ermakova
Tyumen Medical University
Email: zhmdenis@yandex.ru
Teaching Assistant, Department of Propaedeutics of Internal Medicine
Russian Federation, TyumenDenis V. Zhmurov
Tyumen Medical University
Email: zhmdenis@yandex.ru
Cand.Sci. (Med.), Associate Professor, Department of Propaedeutics of Internal Medicine
Russian Federation, TyumenNatalya V. Tolstoukhova
Tyumen Medical University
Email: zhmdenis@yandex.ru
Cand.Sci. (Med.), Associate Professor, Department of Propaedeutics of Internal Medicine
Russian Federation, TyumenReferences
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