The Kidney Failure Risk Equation Score and CKD Care Delivery Measures: A Cross-sectional Study

Abstract

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Impact of Kidney Failure Risk Prediction Clinical Decision Support on Monitoring and Referral in Primary Care Management of CKD: A Randomized Pragmatic Clinical Trial

“… 27 Of note, in a more recent study conducted in the Mass General Brigham health system of 61,546 patients, the UACR rate was also 30%. 28 …”

Clinical Decision Support Tools in the Electronic Medical Record

“… 43 , 44 The 4 variables included within the simplified KFRE equation, with the exception of urinary albumin-to-creatinine ratio in some jurisdictions, are routinely collected and accessible in an EMR system. 45 , 46 , 47 Because of the simplicity of the KFRE and accessibility of the variables included in the KFRE, it has previously been implemented into EMR systems to support both clinical practice and research on CDS tool integration. 38 , 45 , 46 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 Via its integration with EMR systems, KFRE can be automatically calculated, improving the identification of patients at risk of developing kidney failure and improving provider workflow.…”

Optimizing Care Delivery in Patients with Chronic Kidney Disease in the United States: Proceedings of a Multidisciplinary Roundtable Discussion and Literature Review

“…Experts also discussed the Kidney Failure Risk Equation (KFRE), another useful tool for CKD risk stratification and prediction [ 71 ]. A noted drawback, however, is its reliance on urine albumin, which is missing in up to 70% of patients with CKD [ 72 ], although formulas to convert dipstick urine protein or the urine protein-to-creatinine ratio from uACR exist [ 73 ].…”

“…The earliest “bedside calculation” using creatinine, age, and weight to calculate kidney function and provide a rough estimate of GFR is the Cockcroft–Gault formula [ 83 ]. The most widely accepted formulas to calculate GFR have been the CKD-EPI cystatin C 2012 equation [ 84 ], the revised bedside Schwartz formula (ages 1–17) [ 85 ], the CDK-EPI creatinine–cystatin C 2021 equation [ 72 ], and the CKD-EPI creatinine 2021 equation [ 86 ].…”