OBJECTIVE: We sought to evaluate the current state of chronic kidney disease (CKD) management in our academic internal medicine clinic. METHODS: A retrospective review was carried out involving all patients with laboratory evidence of CKD enrolled in our clinic. We evaluated the rate of CKD recognition as well as compliance with standard guidelines. We further subdivided our results based on physician training level, presence of diabetes, recognition of CKD, age, and race. RESULTS: Factors that significantly improved recognition and treatment of CKD in our study included presence of diabetes (p < 0.001), black race (p = 0.013), younger age (p = 0.004), and treatment by a resident physician (p = 0.009). Recognition of stage 3 CKD was associated with significant increases in urine protein analysis (p < 0.001) and nephrology consultation (p < 0.001). CONCLUSION: Chronic kidney disease remains under-recognized and undertreated despite well-publicized guidelines and widespread use of routine eGFR reporting.
OBJECTIVE: We sought to evaluate the current state of chronic kidney disease (CKD) management in our academic internal medicine clinic. METHODS: A retrospective review was carried out involving all patients with laboratory evidence of CKD enrolled in our clinic. We evaluated the rate of CKD recognition as well as compliance with standard guidelines. We further subdivided our results based on physician training level, presence of diabetes, recognition of CKD, age, and race. RESULTS: Factors that significantly improved recognition and treatment of CKD in our study included presence of diabetes (p < 0.001), black race (p = 0.013), younger age (p = 0.004), and treatment by a resident physician (p = 0.009). Recognition of stage 3 CKD was associated with significant increases in urine protein analysis (p < 0.001) and nephrology consultation (p < 0.001). CONCLUSION:Chronic kidney disease remains under-recognized and undertreated despite well-publicized guidelines and widespread use of routine eGFR reporting.
Authors: Tazeen H Jafar; Paul C Stark; Christopher H Schmid; Marcia Landa; Giuseppe Maschio; Paul E de Jong; Dick de Zeeuw; Shahnaz Shahinfar; Robert Toto; Andrew S Levey Journal: Ann Intern Med Date: 2003-08-19 Impact factor: 25.391
Authors: Roberto Minutolo; Luca De Nicola; Giampiero Mazzaglia; Maurizio Postorino; Claudio Cricelli; Lorenzo G Mantovani; Giuseppe Conte; Bruno Cianciaruso Journal: Am J Kidney Dis Date: 2008-05-12 Impact factor: 8.860
Authors: Chin-Lin Tseng; Elizabeth F O Kern; Donald R Miller; Anjali Tiwari; Miriam Maney; Mangala Rajan; Leonard Pogach Journal: Arch Intern Med Date: 2008-01-14
Authors: J Hunter Young; Michael J Klag; Paul Muntner; Joanna L Whyte; Marco Pahor; Josef Coresh Journal: J Am Soc Nephrol Date: 2002-11 Impact factor: 10.121
Authors: Neil T Raymond; Daniel Zehnder; Stephen C H Smith; Julie A Stinson; Hendrik Lehnert; Robert M Higgins Journal: Nephrol Dial Transplant Date: 2007-07-12 Impact factor: 5.992
Authors: Mallika L Mendu; Louise I Schneider; Ayal A Aizer; Karandeep Singh; David E Leaf; Thomas H Lee; Sushrut S Waikar Journal: Clin J Am Soc Nephrol Date: 2014-08-18 Impact factor: 8.237
Authors: Andrew Coyle; Ira Helenius; Christina M Cruz; E Allison Lyons; Natalie May; John Andrilli; M Merav Bannet; Rachel Pinotti; David C Thomas Journal: J Grad Med Educ Date: 2019-04