Nephrology Visits and Health Care Resource Use Before and After Reporting Estimated Glomerular Filtration Rate

CONTEXT Laboratory reporting of estimated glomerular filtration rate (GFR) has been widely implemented, with limited evaluation. OBJECTIVE To examine trends in nephrologist visits and health care resource use before and after estimated GFR reporting. DESIGN, SETTING, AND PATIENTS Community-based coh...

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Bibliographic Details
Published in:JAMA : the journal of the American Medical Association 2010-03, Vol.303 (12), p.1151-1158
Main Authors: Hemmelgarn, Brenda R, Zhang, Jianguo, Manns, Braden J, James, Matthew T, Quinn, Robert R, Ravani, Pietro, Klarenbach, Scott W, Culleton, Bruce F, Krause, Richard, Thorlacius, Laurel, Jain, Arsh K, Tonelli, Marcello, Alberta Kidney Disease Network, for the
Format: Article
Language:English
Subjects:
Adult
Age Factors
Aged
Alberta
Automation
Biological and medical sciences
Cohort Studies
Female
General aspects
Glomerular Filtration Rate
Health Resources - utilization
Humans
Kidney - physiopathology
Kidney diseases
Kidney Diseases - classification
Kidney Diseases - diagnosis
Kidney Diseases - drug therapy
Kidney Diseases - physiopathology
Laboratories - statistics & numerical data
Male
Medical sciences
Middle Aged
Miscellaneous
Nephrology
Nephrology - statistics & numerical data
Physical examinations
Public health. Hygiene
Public health. Hygiene-occupational medicine
Referral and Consultation
Sex Factors
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Description
Summary:CONTEXT Laboratory reporting of estimated glomerular filtration rate (GFR) has been widely implemented, with limited evaluation. OBJECTIVE To examine trends in nephrologist visits and health care resource use before and after estimated GFR reporting. DESIGN, SETTING, AND PATIENTS Community-based cohort study (N = 1 135 968) with time-series analysis. Participants were identified from a laboratory registry in Alberta, Canada, and followed up from May 15, 2003, to March 14, 2007 (with estimated GFR reporting implemented October 15, 2004). MAIN OUTCOME MEASURE Nephrologist visits and patient management. RESULTS Following estimated GFR reporting, the rate of first outpatient visits to a nephrologist for patients with chronic kidney disease (CKD; estimated GFR
ISSN:0098-7484
1538-3598
DOI:10.1001/jama.2010.303