Automated Reporting of Estimated Glomerular Filtration Rate Alters Referral Patterns to a Nephrology Clinic

Vickers, Jean A.; Sturdivant, Rachel L.; Navar, L. Gabriel; Göõz, Monika

doi:10.1097/maj.0b013e318225440e

Cited by 5 publications

(2 citation statements)

References 11 publications

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“…Much has been made of the role of the nephrologist in the care of patients with CKD, with initiatives such as automated eGFR reporting launched to highlight patients with modest degrees of CKD. Despite increasing numbers of patients being referred to a nephrologist following implementation of automated eGFR reporting [ 14 – 19 ], it is clear that only a minority of patients with CKD are seen by a nephrologist [ 20 ]. The large group of patients with CKD who are not under the care of a nephrologist remains a challenge.…”

Section: Discussionmentioning

confidence: 99%

Severe hyperkalaemia: demographics and outcome

Phillips

Milner

Zouwail

et al. 2014

Clinical Kidney Journal

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BackgroundFew studies have evaluated the prevalence of severe hyperkalaemia in unselected patient populations. We identified all episodes of severe hyperkalaemia occurring in 1 year, and described patient demographics, clinical response and outcome. We also assessed junior doctor knowledge of its causes and significance.Materials and methodsA retrospective interrogation of the database of the regional biochemical laboratory identified all episodes of severe hyperkalaemia (K≥ 6.5 mmol/L) occurring in 2011. The understanding of trainee doctors of the importance, causes and treatment of severe hyperkalaemia was assessed by structured questionnaire.ResultsSevere hyperkalaemia was recorded in 433 samples (365 patients) giving a prevalence of 0.11%. Thirty-six per cent of episodes occurred in patients under the care of a nephrologist, who were significantly younger than those not under the care of a nephrologist. In the nephrology cohort, 86% occurred in patients with chronic kidney disease (CKD), the majority of which had CKD Stage 5. In the non-nephrology cohort, only 65% occurred in the context of CKD, which was equally distributed between Stages 3 and 5 CKD. In both patient groups, roughly 50% of episodes occurred in association with acute kidney injury (AKI). Acute mortality (death within 48 h of documented severe hyperkalaemia) was higher in the non-nephrology compared with the nephrology cohort. Time to repeat serum potassium was influenced by the clinical setting with shorter time to repeat for acute care compared with ward settings. Assessment of trainee doctor's knowledge suggested significant deficiencies in relation to severe hyperkalaemia.ConclusionsThe prevalence of severe hyperkalaemia was low and occurred predominantly in the context of CKD and/or AKI. The majority of episodes occurred in patients not under the care of a nephrologist. Variability in time to repeat serum potassium levels suggested deficiencies in care, and assessment of trainee doctor’s knowledge suggests the need for further educational initiatives to highlight its importance.

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Section: Discussionmentioning

confidence: 99%

Severe hyperkalaemia: demographics and outcome

Phillips

Milner

Zouwail

et al. 2014

Clinical Kidney Journal

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“…Even though citation rates are different for different disciplines, the qualitative observation still holds. Studies and discussions in other disciplines show that data sharing is viewed as important and highly relevant for the integrity and furthering of science, and that the hurdles encountered have much in common between various disciplines (Bruna (2010), Delamothe (1996), Kansa et al (2010), Pisani et al (2010), South & Duke (2010), Vickers (2011), Vandewalle et al (2009).…”

Section: Discussionmentioning

confidence: 99%

Linking to Data - Effect on Citation Rates in Astronomy

Henneken¹,

Accomazzi²

2011

Preprint

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Is there a difference in citation rates between articles that were published with links to data and articles that were not? Besides being interesting from a purely academic point of view, this question is also highly relevant for the process of furthering science. Data sharing not only helps the process of verification of claims, but also the discovery of new findings in archival data. However, linking to data still is a far cry away from being a "practice", especially where it comes to authors providing these links during the writing and submission process. You need to have both a willingness and a publication mechanism in order to create such a practice. Showing that articles with links to data get higher citation rates might increase the willingness of scientists to take the extra steps of linking data sources to their publications. In this presentation we will show this is indeed the case: articles with links to data result in higher citation rates than articles without such links.The ADS is funded by NASA Grant NNX09AB39G.

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