American Indian chronic Renal insufficiency cohort study (AI-CRIC study)

Abstract

Background: Chronic kidney disease (CKD) is an increasing epidemic globally that is associated with adverse health outcomes including end stage kidney disease (ESKD), cardiovascular disease (CVD), and death. American Indians (AIs) have a higher prevalence of CKD than most other racial/ethnic groups, due in part to a high prevalence of type 2 diabetes. Other genetic and environmental factors not yet identified may also contribute to the disproportionate burden of CKD in AIs. Method: We will establish 3 clinical centers to recruit AIs from the Southwest United States (US) to expand the Chronic Renal Insufficiency Cohort (CRIC) study. We will follow the current CRIC protocol for kidney and cardiovascular measures and outcomes, which include ambulatory monitoring of kidney function and the use of mobile health technologies for CVD sub-phenotyping, and compare the outcomes in AIs with those in other racial/ ethnic groups in CRIC. Discussion: AI-CRIC will identify the role of various risk factors for rapid loss of kidney function among AIs of the Southwest US. In addition, to better understand the natural history of CKD and CVD in this high-risk population, we will identify unique risk factors for CKD and CVD progression in AIs. We will also compare event rates and risk factors for kidney and cardiovascular events in AIs with the other populations represented in CRIC.

Electronic Health Record Portals and Patient-Centered Outcomes in CKD

“…Although chronic kidney disease (CKD) is common and associated with considerable morbidity and mortality, particularly among disadvantaged patients, 10 many patients remain unaware of their diagnosis. EHR patient portals are one way to facilitate patient-provider communication and information sharing and help patients be more engaged in their CKD care through regular follow-up appointments, frequent tests, dissemination of test results, and receipt of education about CKD and CKD management, including lifestyle modifications.…”