ReviewJournal of the American Society of Nephrology : JASN2020
Measuring Quality in Kidney Care: An Evaluation of Existing Quality Metrics and Approach to Facilitating Improvements in Care Delivery.
Review in Journal of the American Society of Nephrology : JASN, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
28 citing papers in PubMed, 41 citations in OpenAlex.
- Assessment of Medicare Advantage Stars Measures: Impact on Kidney Care Quality and Future Opportunities.Journal of the American Society of Nephrology : JASN · 2026Article
- Non-traditional barriers to participation in pharmacologic chronic kidney disease clinical trials.BMC nephrology · 2025Article
- How to Leverage Implementation Science to Achieve Equity in Nephrology Care Delivery.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2025Article
- Population Health Management for Improving Kidney Health Outcomes.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2025Article
- Lessons from implementation of a nephrology key performance indicator programme.Internal medicine journal · 2025Article
- Best practice for the selection, design and implementation of UK Kidney Association guidelines: a modified Delphi consensus approach.BMJ open · 2024Article
- Pay-for-performance programs effectiveness in healthcare: the case of the end-stage renal disease quality incentive program.The European journal of health economics : HEPAC : health economics in prevention and care · 2024Article
- Quality and safety in residential aged care: an evaluation of a national quality indicator programme.Internal medicine journal · 2023Article
- Albuminuria testing and nephrology care among insured US adults with chronic kidney disease: a missed opportunity.BMC primary care · 2022Article
- Integrating CKD Into US Primary Care: Bridging the Knowledge and Implementation Gaps.Kidney international reports · 2022Review
- Health inequities and the inappropriate use of race in nephrology.Nature reviews. Nephrology · 2022Review
- Value-Based Care and Kidney Disease: Emergence and Future Opportunities.Advances in chronic kidney disease · 2022Review
- Funding Innovative Dialysis Technology in the United States: Home Dialysis and the ESRD Transitional Add-on Payment for New and Innovative Equipment and Supplies (TPNIES).American journal of kidney diseases : the official journal of the National Kidney Foundation · 2021Article
- Trends in Chronic Kidney Disease Care in the US by Race and Ethnicity, 2012-2019.JAMA network open · 2021Article
- Association of Public Reporting of Medicare Dialysis Facility Quality Ratings With Access to Kidney Transplantation.JAMA network open · 2021Article
- Barriers to ACEI/ARB Use in Proteinuric Chronic Kidney Disease: An Observational Study.Mayo Clinic proceedings · 2021Observational
- The COVID-19 Pandemic Converges With Kidney Policy Transformation: Implications for CKD Population Health.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2021Article
- An Environmental Scan and Evaluation of Quality Indicators Across Canadian Kidney Transplant Centers.Canadian journal of kidney health and disease · 2021Article
- An Environmental Scan of Ambulatory Care Quality Indicators for Patients With Advanced Kidney Disease Currently Used in Canada.Canadian journal of kidney health and disease · 2021Article
- A Quality Improvement Initiative Targeting Chronic Kidney Disease Metrics Through Increased Urinary Albumin Testing.The Permanente journal · 2020Article
Corrections and comments
- Commented on byMeasuring Up.2020
Authors and funding
14 authors at 13 institutions in 1 country.
Funding
Abstract
backgroundLeveraging quality metrics can be a powerful approach to identify substantial performance gaps in kidney disease care that affect patient outcomes. However, metrics must be meaningful, evidence-based, attributable, and feasible to improve care delivery. As members of the American Society of Nephrology Quality Committee, we evaluated existing kidney quality metrics and provide a framework for quality measurement to guide clinicians and policy makers.
methodsWe compiled a comprehensive list of national kidney quality metrics from multiple established kidney and quality organizations. To assess the measures' validity, we conducted two rounds of structured metric evaluation, on the basis of the American College of Physicians criteria: importance, appropriate care, clinical evidence base, clarity of measure specifications, and feasibility and applicability.
resultsWe included 60 quality metrics, including seven for CKD prevention, two for slowing CKD progression, two for CKD management, one for advanced CKD and kidney replacement planning, 28 for dialysis management, 18 for broad measures, and two patient-reported outcome measures. We determined that on the basis of defined criteria, 29 (49%) of the metrics have high validity, 23 (38%) have medium validity, and eight (13%) have low validity.
conclusionsWe rated less than half of kidney disease quality metrics as highly valid; the others fell short because of unclear attribution, inadequate definitions and risk adjustment, or discordance with recent evidence. Nearly half of the metrics were related to dialysis management, compared with only one metric related to kidney replacement planning and two related to patient-reported outcomes. We advocate refining existing measures and developing new metrics that better reflect the spectrum of kidney care delivery.
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What OpenQuestion holds
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.