Nephrology Visits and Health Care Resource Use Before and After Reporting Estimated Glomerular Filtration Rate

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Nephrology visits and health care resource use before and after reporting estimated glomerular filtration rate.

CONTEXT Laboratory reporting of estimated glomerular filtration rate (GFR) has been widely implemented, with limited evaluation. OBJECTIVE To examine trends in nephrologist visits and health care resource use before and after estimated GFR reporting. DESIGN, SETTING, AND PATIENTS Community-based cohort study (N = 1,135,968) with time-series analysis. Participants were identified from a labo...

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Estimated glomerular filtration rate.

The recent article about estimated glomerular filtration rate (GFR) by Levey and colleagues (1) is remarkable. The authors suggest that the new equation may still have some bias and especially may have less precision in patients with GFRs greater than 60 mL/min per 1.73 m 2 . This is even more important if the GFR is greater than 90 mL/min per 1.73 m 2 . In the paper's Methods section, Levey an...

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Automatic reporting of estimated glomerular filtration rate--jumping the gun?

In 2002, the Kidney Disease Outcomes Quality Initiative recommended the use of an estimated glomerular filtration rate (eGFR) to detect early kidney disease (1 ). Subsequently, the National Kidney Disease Education Program (NKDEP) has taken the lead in promoting the use of eGFR. In their recommendations to health professionals (2 ), the NKDEP suggested determining an eGFR, as well as measuring ...

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Protein Diet and Estimated Glomerular Filtration Rate

Chronic kidney disease (CKD) is a common health problem worldwide. CKD staging or classification, together with patients’ prognosis and treatment plan depend on the patients’ kidney function which is assessed by measurement of glomerular filtration rate (GFR). Estimated GFR can be obtained using serum or plasma creatinine as a main variable in equations or formulae such as Cockcroft-Gault equat...

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2. Use of estimated glomerular filtration rate to assess -–

• Several glomerular filtration rate (GFR) prediction equations that take into account the serum creatinine concentration and certain patient variables (age, gender, body size and/or race) have been shown to generate sufficiently precise, unbiased and accurate estimates of GFR (eGFR) to be clinically useful for evaluating kidney function in a broad range of clinical settings. (Level III evidenc...

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ژورنال

عنوان ژورنال: JAMA

سال: 2010

ISSN: 0098-7484

DOI: 10.1001/jama.2010.303