Reporting eGFR

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Reporting the eGFR and its implication for CKD diagnosis.

The process of diagnosing chronic kidney disease using the estimated GFR involves several pitfalls. The estimated GFR laboratory report should be requested only by practitioners who are familiar with how to interpret the result. Until a more reliable method is available to estimate the GFR, the current chronic kidney disease classification should be revised by reducing the central role of the G...

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The association of eGFR reporting with the timing of dialysis initiation.

Automated reporting of eGFR by laboratories has been widely implemented during the last decade. Over this same period, a steady increase in eGFR at dialysis initiation has been reported. This study examined trends in eGFR at dialysis initiation over time among incident dialysis patient populations before and after eGFR reporting. All patients who initiated dialysis between January of 2001 and D...

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Perspectives on eGFR reporting from the interface between primary and secondary care.

The introduction of estimated GFR (eGFR) reporting based on the Modification of Diet in Renal Disease (MDRD) equation has caused much debate regarding its value in the wider community. In particular, automated reporting of eGFR by laboratories has led to concern that it is being used as a "covert " screening tool, in populations in which the MDRD equation has known inaccuracies. There is a fear...

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Characterizing pre-dialysis care in the era of eGFR reporting: a cohort study

BACKGROUND Chronic kidney disease (CKD) is a common disorder associated with increased morbidity and mortality. Primary care physicians (PCPs) care for the majority of pre-dialysis CKD patients; however, PCPs often do not recognize the presence of CKD based on serum creatinine levels. Prior studies suggest that PCPs and nephrologists deliver suboptimal CKD care. One strategy to improve disease ...

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The impact of automated eGFR reporting and education on nephrology service referrals

BACKGROUND Serum creatinine concentration is an unreliable and insensitive marker of chronic kidney disease (CKD). To improve CKD detection, the Australasian Creatinine Consensus Working Committee recommended reporting of estimated glomerular filtration rate (eGFR) using the four-variable Modification of Diet in Renal Disease (MDRD) formula with every request for serum creatinine concentration....

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ژورنال

عنوان ژورنال: Clinical Journal of the American Society of Nephrology

سال: 2008

ISSN: 1555-9041,1555-905X

DOI: 10.2215/cjn.02870608