期刊
AMERICAN JOURNAL OF THE MEDICAL SCIENCES
卷 342, 期 3, 页码 218-220出版社
ELSEVIER SCIENCE INC
DOI: 10.1097/MAJ.0b013e318225440e
关键词
Estimated glomerular filtration rate; Nephrology; Referrals; Chronic kidney disease; MDRD
An estimated 11% to 25% of adults in the United States have chronic kidney disease (CKD). In 2002, the National Kidney Foundation published a 5-stage classification of CKD based on estimated glomerular filtration rate (eGFR) intending to improve identification and management of prevalent cases (National Kidney Foundation, Am J Kidney Dis. 2002; 39: S1-266). Nephrologists anticipated that the reporting of estimated GFR would improve early detection of CKD. The authors hypothesized that automatic eGFR reporting in our institution would subsequently result in increased new nephrology outpatient referrals at an earlier stage of CKD. The authors found that the proportion of referrals identifying earlier stages of CKD (eGFR greater than 45 mL/min) increased significantly for 2 years following the institution of eGFR reporting but was not sustained (P = 0.018); this trend was most obvious in African American women. No significant trend was seen with respect to age. The authors discuss potential reasons for automated eGFR reporting not leading to a sustained increase in nephrology referrals.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据