Abstract:was the Garabed Eknoyan Award recipient at the 2015 National Kidney Foundation Spring Clinical Meetings. This award was created to recognize an individual who has made exceptional contributions to promote the mission of the National Kidney Foundation in making lives better for people with kidney disease.
“…In doing so, those patients with eGFR < 30 mL/min or albuminuria >300 mg/g will be less likely to be hospitalized, need emergent transfusions or dialysis, or die from ESRD complications (Chan et al., ; Drawz et al., ; Smart & Titus, ). As gatekeepers to specialists, PCPs can better streamline patients at earlier stages of CKD with increased knowledge and clinical support applications based on current guideline and the best evidence (Thavarajah et al., ; Vassalotti et al., ).…”
Section: Discussionmentioning
confidence: 99%
“…(), 24) Litvin and Ornstein (), 25) Thavarajah et al. (), 26) Vassalotti et al. (), 27) Berns (), 28) Bowling and O'Hare (2012), 29) Drawz et al.…”
Section: Problemunclassified
“…Cardiovascular risk reduction is warranted in CKD patients (Richards et al., ). Risk stratification for albuminuria is recommended to assess for change in outcomes over time and the ACR is crucial to determining the prognosis of CKD (Schmieder et al., ; Thavarajah, Knicely, & Choi, ; Vassalotti et al., ). Thorp, Eastman, Smith, and Johnson () projected estimated cost savings of $18.56, $39.02, and $60.61 billion if the rate of GFR decline decreased in CKD patients by 10%, 20%, and 30%, respectively.…”
Background and purpose
Chronic kidney disease (CKD) is undertreated and under‐recognized in primary care. The majority of primary care providers (PCPs) are not aware or knowledgeable of current CKD guidelines. The purpose of this project was to develop a quality improvement intervention for PCPs through the delivery of evidence‐based guidelines at the point of care.
Methods
An evidence‐based clinical algorithm was developed in the electronic medical record for providers to access within one organization comprising 11 primary care offices with 80 PCPs. Baseline knowledge surveys and baseline data were obtained in August 2016. A CKD educational intervention and tutorial on a clinical decision support (CDS) tool was presented to physicians, nurse practitioners, and physician assistants. Postimplementation data and knowledge surveys were collected in December 2016.
Conclusions
Most PCPs were willing to use a CKD CDS tool to help them with CKD patients. A CDS tool in addition to an educational intervention can improve PCP knowledge and identification of CKD and early referral to nephrology.
Implications for practice
CDS tools can promote evidence‐based guided care for PCPs and CKD patients. By using these applications, patients can be properly identified, managed, treated, and appropriately referred to nephrology.
“…In doing so, those patients with eGFR < 30 mL/min or albuminuria >300 mg/g will be less likely to be hospitalized, need emergent transfusions or dialysis, or die from ESRD complications (Chan et al., ; Drawz et al., ; Smart & Titus, ). As gatekeepers to specialists, PCPs can better streamline patients at earlier stages of CKD with increased knowledge and clinical support applications based on current guideline and the best evidence (Thavarajah et al., ; Vassalotti et al., ).…”
Section: Discussionmentioning
confidence: 99%
“…(), 24) Litvin and Ornstein (), 25) Thavarajah et al. (), 26) Vassalotti et al. (), 27) Berns (), 28) Bowling and O'Hare (2012), 29) Drawz et al.…”
Section: Problemunclassified
“…Cardiovascular risk reduction is warranted in CKD patients (Richards et al., ). Risk stratification for albuminuria is recommended to assess for change in outcomes over time and the ACR is crucial to determining the prognosis of CKD (Schmieder et al., ; Thavarajah, Knicely, & Choi, ; Vassalotti et al., ). Thorp, Eastman, Smith, and Johnson () projected estimated cost savings of $18.56, $39.02, and $60.61 billion if the rate of GFR decline decreased in CKD patients by 10%, 20%, and 30%, respectively.…”
Background and purpose
Chronic kidney disease (CKD) is undertreated and under‐recognized in primary care. The majority of primary care providers (PCPs) are not aware or knowledgeable of current CKD guidelines. The purpose of this project was to develop a quality improvement intervention for PCPs through the delivery of evidence‐based guidelines at the point of care.
Methods
An evidence‐based clinical algorithm was developed in the electronic medical record for providers to access within one organization comprising 11 primary care offices with 80 PCPs. Baseline knowledge surveys and baseline data were obtained in August 2016. A CKD educational intervention and tutorial on a clinical decision support (CDS) tool was presented to physicians, nurse practitioners, and physician assistants. Postimplementation data and knowledge surveys were collected in December 2016.
Conclusions
Most PCPs were willing to use a CKD CDS tool to help them with CKD patients. A CDS tool in addition to an educational intervention can improve PCP knowledge and identification of CKD and early referral to nephrology.
Implications for practice
CDS tools can promote evidence‐based guided care for PCPs and CKD patients. By using these applications, patients can be properly identified, managed, treated, and appropriately referred to nephrology.
“…Accordingly, an important innovation not considered in this analysis is disseminating distilled clinical practice guidelines that would be more readily used in primary care management ( Fig 1 ). 12 , 13 , 14 Figure 1 Schematic that summarizes a practical approach to the detection and management of chronic kidney disease (CKD) for primary care practitioners, 12 updated to incorporate recent editorial commentary 13 , 14 and clinical practice guidelines for type 2 diabetes. 19 ∗Confirmed for 3 or more months.…”
Section: Primary Care Interpretation Of Ckd Test Reportingmentioning
“…CKDinform is a collection of evidence-based resources for primary care practitioners created by the NKF. [8][9][10][11][12] The MABs are expected to present the CKDinform materials at local symposia, grand rounds, or during collaborative education with their local primary care organizations. We suggest inviting speakers who represent local institutions and community physicians, including both nephrologists and primary care physicians.…”
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