Evidence map›Paper›PMID 30823871›Full record

ArticleBMC nephrology2019

Development of an electronic health record-based chronic kidney disease registry to promote population health management.

Mallika L Mendu, Salman Ahmed, Jason K Maron, Sandhya K Rao, Sreekanth K Chaguturu, Megan F May, Walter P Mutter, Kelly A Burdge, David J R Steele, David B Mount and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMC nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 44 citations in OpenAlex.

  1. Review
  2. Population Health Management for Improving Kidney Health Outcomes.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2025
    Article
  3. Article
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  8. Primary Care Informatics: Vitalizing the Bedrock of Health Care.Journal of medical Internet research · 2024
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 1 country.

Mallika L MenduDivision of Renal Medicine, Brigham and Women's Hospital, Harvard Medical School, One Brigham Circle, Boston, MA, 02115, USA. mmendu@partners.org.
Salman AhmedDivision of Renal Medicine, Brigham and Women's Hospital, Harvard Medical School, One Brigham Circle, Boston, MA, 02115, USA.
Jason K MaronPartners Healthcare, Partners eCare, Boston, MA, USA.
Sandhya K RaoPartners Healthcare, Center for Population Health Management, Boston, MA, USA.
Sreekanth K ChaguturuPartners Healthcare, Center for Population Health Management, Boston, MA, USA.
Megan F MayDivision of Renal Medicine, Brigham and Women's Hospital, Harvard Medical School, One Brigham Circle, Boston, MA, 02115, USA.
Walter P MutterDivision of Nephrology, Newton Wellesley Hospital, Boston, MA, USA.
Kelly A BurdgeDivision of Renal Medicine, North Shore Medical Center, Boston, MA, USA.
David J R SteeleDivision of Renal Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
David B MountDivision of Renal Medicine, Brigham and Women's Hospital, Harvard Medical School, One Brigham Circle, Boston, MA, 02115, USA.
Sushrut S WaikarDivision of Renal Medicine, Brigham and Women's Hospital, Harvard Medical School, One Brigham Circle, Boston, MA, 02115, USA.
Jeffrey B WeilburgPartners Healthcare, Quality Safety and Value, Boston, MA, USA.
Thomas D SequistPartners Healthcare, Quality Safety and Value, Boston, MA, USA.
Harvard University · USMass General Brigham · USBrigham and Women's Hospital · USNewton Wellesley Hospital · USNorth Shore Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElectronic health record (EHR) based chronic kidney disease (CKD) registries are central to population health strategies to improve CKD care. In 2015, Partners Healthcare System (PHS), encompassing multiple academic and community hospitals and outpatient care facilities in Massachusetts, developed an EHR-based CKD registry to identify opportunities for quality improvement, defined as improvement on both process measures and outcomes measures associated with clinical care.

methodsPatients are included in the registry based on the following criteria: 1) two estimated glomerular filtration rate (eGFR) results < 60 ml/min/1.73m

resultsThe CKD registry includes 60,503 patients and has revealed several opportunities for care improvement including 1) annual proteinuria testing performed for 17% (stage 3) and 31% (stage 4) of patients; 2) ACE-I/ARB used in 41% (stage 3) and 46% (stage 4) of patients; 3) nephrotoxic medications used among 23% of stage 4 patients; and 4) 89% of stage 4 patients lack HBV immunity. For advanced CKD patients there are opportunities to improve vascular access placement, transplant referrals and outpatient nephrology contact.

conclusionsA CKD registry can identify modifiable care gaps across the spectrum of CKD care and enable population health strategy implementation. No linkage to Social Security Death Master File or US Renal Data System (USRDS) databases limits our ability to track mortality and progression to ESRD.

Indexed as

Patient Care ManagementRenal Insufficiency, ChronicAgedDelivery of Health Care, IntegratedElectronic Health RecordsFemaleHealth Services Needs and DemandHumansKidney Function TestsMaleMassachusettsMiddle AgedPatient AcuityPopulation Health ManagementQuality ImprovementRegistriesChronic kidney diseaseElectronic health recordPopulation health managementRegistry

Identifiers

PMID30823871
PMCPMC6397481
OpenAlexW2940778044

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.