Opportunities for improving management of advanced chronic kidney disease

Meenal B. Patwardhan, David B. Matchar, Gregory P. Samsa, William E Haley

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Evidence suggests that management of advanced chronic kidney disease affects patient outcomes. To identify clinical areas that demand attention from a quality improvement perspective, we sought to examine the extent of conformance to an advanced chronic kidney disease guideline in a range of practices. A total of 237 patient medical records were abstracted from 4 primary care providers and 4 nephrology private practices across the country. In the practices studied, management of advanced chronic kidney disease patients was suboptimal for patients managed by primary care providers as well as those managed by nephrologists (overall conformance 27% and 42%, respectively), specifically for anemia, bone disease, and timing for renal replacement therapy. The current exercise (in conjunction with a literature search and focused and individual interviews with providers and patients) offered valuable information that was used to develop a toolkit for optimizing management of advanced chronic kidney disease. (Am J Med Qual 2008;23:184-192).

Original languageEnglish (US)
Pages (from-to)184-192
Number of pages9
JournalAmerican Journal of Medical Quality
Volume23
Issue number3
DOIs
StatePublished - May 2008

Fingerprint

Chronic Renal Insufficiency
Primary Health Care
Renal Replacement Therapy
Nephrology
Private Practice
Bone Diseases
Practice Management
Managed Care Programs
Quality Improvement
Medical Records
Anemia
Guidelines
Interviews
Exercise

Keywords

  • Chronic kidney disease
  • Guideline conformance
  • Practice patterns

ASJC Scopus subject areas

  • Health Policy

Cite this

Opportunities for improving management of advanced chronic kidney disease. / Patwardhan, Meenal B.; Matchar, David B.; Samsa, Gregory P.; Haley, William E.

In: American Journal of Medical Quality, Vol. 23, No. 3, 05.2008, p. 184-192.

Research output: Contribution to journalArticle

Patwardhan, Meenal B. ; Matchar, David B. ; Samsa, Gregory P. ; Haley, William E. / Opportunities for improving management of advanced chronic kidney disease. In: American Journal of Medical Quality. 2008 ; Vol. 23, No. 3. pp. 184-192.
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