ArticleAmerican journal of nephrology2014
Chronic kidney disease in an electronic health record problem list: quality of care, ESRD, and mortality.
Article in American journal of nephrology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Quality of care for people with chronic kidney disease: a systematic review and meta-analysis.BMJ open · 2025Pooled it
- Implementation of a pragmatic randomized trial of screening for chronic kidney disease to improve care among non-diabetic hypertensive veterans.BMC nephrology · 2017Trial
- Identifying and Characterising a Chronic Kidney Disease Electronic-Phenotype Using Electronic Health Record-Derived Data: A Narrative Review of Strategies and Applications.Nephrology (Carlton, Vic.) · 2025Review
- Validation of an Algorithm to Identify End-Stage Kidney Disease in Electronic Health Records Data.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2025Article
- Advancements in Electronic Medical Records for Clinical Trials: Enhancing Data Management and Research Efficiency.Cancers · 2025Review
- Impact of electronic medical record utilization on obesity screening and intervention for obese patients with endometrial cancer.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2024Article
- Review
- Electronic health record based population health management to optimize care in CKD: Design of the Kidney Coordinated HeAlth Management Partnership (K-CHAMP) trial.Contemporary clinical trials · 2023Article
- Risk-based versus GFR threshold criteria for nephrology referral in chronic kidney disease.Clinical kidney journal · 2022Review
- Trends in Chronic Kidney Disease Care in the US by Race and Ethnicity, 2012-2019.JAMA network open · 2021Article
- Role of social deprivation on asthma care quality among a cohort of children in US community health centres.BMJ open · 2021Article
- A qualitative study documenting unmet needs in the management of diabetic kidney disease (DKD) in the primary care setting.BMC public health · 2021Article
- Ethnic minority disparities in progression and mortality of pre-dialysis chronic kidney disease: a systematic scoping review.BMC nephrology · 2020Article
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- Article
- Article
- Lab-based and diagnosis-based chronic kidney disease recognition and staging concordance.BMC nephrology · 2019Article
- Article
- A Pragmatic Cluster Randomized Trial of an Electronic Clinical Decision Support System to Improve Chronic Kidney Disease Management in Primary Care: Design, Rationale, and Implementation Experience.JMIR research protocols · 2019Article
- Validating laboratory defined chronic kidney disease in the electronic health record for patients in primary care.BMC nephrology · 2019Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundWhether chronic kidney disease (CKD) recognition in an electronic health record (EHR) problem list improves processes of care or clinical outcomes of end-stage renal disease (ESRD) and death is unclear.
methodsWe identified patients who had at least 1 year of follow-up (2005-2009) in our EHR-based CKD registry (n = 25,742). CKD recognition was defined by having ICD-9 codes for CKD, diabetic kidney disease, or hypertensive kidney disease in the problem list. We calculated proportions of patients with and without CKD recognition and examined differences by demographics, clinical factors, and development of ESRD or mortality. We evaluated differences in the proportion of patients with CKD-specific laboratory results checked before and after recognition among cases and propensity-matched controls.
resultsOnly 11% (n = 2,735) had CKD recognition in the problem list and they were younger (68 vs. 71 years), a higher proportion were male (61 vs. 37%) and African-American (21 vs. 10%) compared to those unrecognized. CKD-specific laboratory results for patients with estimated glomerular filtration rate (eGFR) 30-59 including intact parathyroid hormone (23 vs. 6%), vitamin D (22 vs. 18%), phosphorus (29 vs. 7%), and a urine check for proteinuria (55 vs. 36%) were significantly more likely to be done among those with CKD recognition (all p < 0.05). Similar results were found for eGFR <30 except for proteinuria and in our propensity score-matched control analysis. There was no independent association of CKD recognition with ESRD or mortality.
conclusionsCKD recognition in the EHR problem list was low, but translated into more CKD-specific processes of care; however ESRD or mortality were not affected.
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