Glomerular Filtration Rate (GFR) Reporting on Nephrology Referral Patterns by Internists
| Status: | Completed |
|---|---|
| Conditions: | Renal Impairment / Chronic Kidney Disease |
| Therapuetic Areas: | Nephrology / Urology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/2/2016 |
| Start Date: | February 2005 |
| End Date: | February 2006 |
| Contact: | Heather J Miller, M.D. |
| Email: | HJMiller1@nmcsd.med.navy.mil |
The Effect of MDRD GFR Reporting on Nephrology Referral Patterns by Internists
The addition of an estimate value of glomerular filtration rate (GFR) per Modification of
Diet in Renal Disease [MDRD] (LEVEY) equation is being included and reported on all routine
chemistry panels in the experimental group. The control group is only having serum
creatinine, the current standard of care, reported on routine chemistry panels.
Diet in Renal Disease [MDRD] (LEVEY) equation is being included and reported on all routine
chemistry panels in the experimental group. The control group is only having serum
creatinine, the current standard of care, reported on routine chemistry panels.
All patients already referred to or being followed by nephrologists were excluded. Inclusion
criteria were all patients in the Internal Medicine clinic at NMCSD who were sent to the lab
to obtain routine chemistry panels for follow up by their primary care providers. The
primary outcome is increased referral to nephrology in accordance with NKF K/DOQI guidelines
if GFR values are reported on routine chemistry panels. Key secondary outcomes are Primary
Care Provider knowledge of NKF K/DOQI guidelines, specifically when patients with chronic
kidney disease need to be referred to a nephrologist for further evaluation.
criteria were all patients in the Internal Medicine clinic at NMCSD who were sent to the lab
to obtain routine chemistry panels for follow up by their primary care providers. The
primary outcome is increased referral to nephrology in accordance with NKF K/DOQI guidelines
if GFR values are reported on routine chemistry panels. Key secondary outcomes are Primary
Care Provider knowledge of NKF K/DOQI guidelines, specifically when patients with chronic
kidney disease need to be referred to a nephrologist for further evaluation.
Inclusion Criteria:
- All patients in the Internal Medicine Clinic at Naval Medical Center, San Diego
(NMCSD) who were sent to the lab to obtain follow up by their primary care providers.
Exclusion Criteria:
- All patients referred to or being followed by nephrologists.
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