SynthesisClinical and experimental nephrology2008
Delivery patterns of recommended chronic kidney disease care in clinical practice: administrative claims-based analysis and systematic literature review.
Synthesis in Clinical and experimental nephrology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00921687 (Chronic Kidney Disease Guideline Adherence - a Cluster Randomized Controlled Quality Improvement Study), which is not on this map. Cited by 28 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Chronic Kidney Disease Guideline Adherence - a Cluster Randomized Controlled Quality Improvement Study
Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Continuous quality improvement in nephrology: a systematic review.BMC nephrology · 2016Pooled it
- Translating CKD Research into Primary Care Practice: a Group-Randomized Study.Journal of general internal medicine · 2020Trial
- Impact of a chronic kidney disease registry and provider education on guideline adherence--a cluster randomized controlled trial.BMC medical informatics and decision making · 2012Trial
- Automated clinical reminders for primary care providers in the care of CKD: a small cluster-randomized controlled trial.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2011Trial
- Cost-effectiveness analysis of a randomized trial comparing care models for chronic kidney disease.Clinical journal of the American Society of Nephrology : CJASN · 2011Trial
- Evaluation of a training and communication-network nephrology program for community pharmacists.Pharmacy world & science : PWS · 2008Trial
- Nephrologist referrals of older patients with chronic kidney disease in Singapore: a cross-sectional study.BJGP open · 2022Article
- Testing Patterns for CKD-MBD Abnormalities in a Sample US Population.Kidney international reports · 2021Article
- Developing quality indicators for Chronic Kidney Disease in primary care, extractable from the Electronic Medical Record. A Rand-modified Delphi method.BMC nephrology · 2020Article
- Article
- Nephrology comanagement and the quality of antibiotic prescribing in primary care for patients with chronic kidney disease: a retrospective cross-sectional study.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2019Article
- Effects of Early Frequent Nephrology Care on Emergency Department Visits among Patients with End-stage Renal Disease.International journal of environmental research and public health · 2019Observational
- Article
- User Requirements for a Chronic Kidney Disease Clinical Decision Support Tool to Promote Timely Referral.International journal of medical informatics · 2017Article
- Quality of Care for Patients With Chronic Kidney Disease in the Primary Care Setting: A Retrospective Cohort Study From Ontario, Canada.Canadian journal of kidney health and disease · 2017Article
- Incident chronic kidney disease: trends in management and outcomes.Clinical kidney journal · 2016Article
- Influence of Nephrologist Care on Management and Outcomes in Adults with Chronic Kidney Disease.Journal of general internal medicine · 2016Article
- Nephrology co-management versus primary care solo management for early chronic kidney disease: a retrospective cross-sectional analysis.BMC nephrology · 2015Article
- Implementation of a CKD checklist for primary care providers.Clinical journal of the American Society of Nephrology : CJASN · 2014Article
- Primary care physicians' familiarity, beliefs, and perceived barriers to practice guidelines in non-diabetic CKD: a survey study.BMC nephrology · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
backgroundClinical practice guidelines for management of chronic kidney disease (CKD) have been developed within the Kidney Disease Outcomes Quality Initiative (K/DOQI). Adherence patterns may identify focus areas for quality improvement.
methodsWe retrospectively studied contemporary CKD care patterns within a private health system in the United States, and systematically reviewed literature of reported practices internationally. Five hundred and nineteen patients with moderate CKD (estimated GFR 30-59 ml/min) using healthcare benefits in 2002-2005 were identified from administrative insurance records. Thirty-three relevant publications in 2000-2006 describing care in 77,588 CKD patients were reviewed. Baseline demographic traits and provider specialty were considered as correlates of delivered care. Testing consistent with K/DOQI guidelines and prevalence of angiotensin converting enzyme inhibitor/angiotensin receptor blocker (ACEi/ARB) medication prescriptions were ascertained from billing claims. Care descriptions in the literature sample were based on medical charts, electronic records and/or claims.
resultsKDOQI-consistent measurements of parathyroid hormone (7.1 vs. 0.6%, P = 0.0002), phosphorus (38.2 vs. 1.9%, P < 0.0001) and quantified urinary protein (23.8 vs. 9.4%, P = 0.008) were more common among CKD patients with versus without nephrology referral in the administrative data. Nephrology referral correlated with increased likelihood of testing for parathyroid hormone and phosphorus after adjustment for baseline patient factors. Use of ACEi/ARB medications was more common among patients with nephrology contact (50.0 vs. 30.0%; P = 0.008) but appeared largely driven by higher comorbidity burden. The literature review demonstrated similar practice patterns.
conclusionsDelivery of CKD care may be monitored by administrative data. There is opportunity for improvement in CKD guideline adherence in practice.
Indexed as
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.