This document summarizes efforts to augment an existing chronic kidney disease intervention program called Trinitas High Risk Chronic Kidney Disease. The program aims to educate more patients in Union County, New Jersey about chronic kidney disease awareness, prevention, and treatment by creating new partnerships with surrounding medical and community organizations. An analysis found that Elizabeth, Linden, and Roselle had higher rates of chronic kidney disease compared to other Union County towns. The augmented program resulted in 25 new potential partnerships, improved patient education on medication, diet, and resources, and stabilized creatinine and glomerular filtration levels based on pre and post surveys and blood tests.

1. Augmenting Trinitas High Risk Chronic Kidney Disease
Intervention Program
Marjorie Cadestin
Joseph, McTernan
Purpose
• To educate more patients on the
awareness, prevention, and treatment
of Chronic Kidney Disease.
• Augment Thrive by creating new
partnerships with surrounding medical
and community based organizations.
Significance
Methodology Outcomes
Evaluation
Acknowledgments
• Chronic Kidney Disease decreases the
kidney’s ability to extract waste from
the blood and balance body fluids.
• Approximately 230,000 individuals are
living with CKD in Union County.
• Risk Factors for CKD includes Diabetes
mellitus, Hypertension, Family history,
obesity, and older age
• Elizabeth, Linden, and Roselle have a
higher rate of chronic kidney disease
compared to other towns in Union
County, New Jersey; 39%, 33%, and
33% respectively.
• 25 New Possible Partnerships created
• Pre and Post Surveys shows patients are
more educated in medication and dietary
management, community resources,
support services, and dialysis modalities.
• Pre and post blood tests showed
creatinine and glomerular filtration
levels stabilized.
Research Analyze Strategize Enact
• Calculate a standardized prevalence and
mortality ratio using information from the
Census and the Chronic Kidney Disease
Surveillance Project.
• Assess the risks of towns located in Union
County, New Jersey. Identify specific
locations within these populations that
have an increased prevalence rate.
• Identify doctors, nursing homes, and
community and faith based organizations
in prevalence clusters
• Create informative packages
containing THRIVE’s missions and statistics
and plan outreach programs with
organizations.
Diabetes
44%
Hyperte
nsion
28%
Glomeru
lonephrit
is
7%
Cystic
Kidney
2%
Urologic
Disease
1%
All Other
18%
Comorbidities Driving ESRD, USA
2008
A special thank you to Joseph McTernan,
Ruby Codjoe Anne Marie Hill, and Tamara
Swedberg for all their help, direction, and
encouragement.Relative Risk of ESRD
• African American - 4.45x
• Hispanic - 3.60x
0
1000
2000
3000
Elizabeth Linden Roselle Standard
Rate
Prevalence Rates of ESRD CKD
Expected Rates