Document Detail


Impact of estimated glomerular filtration rate reporting on nephrology referrals: a review of the literature.
MedLine Citation:
PMID:  21490475     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE OF REVIEW: Estimated glomerular filtration rate (eGFR) reporting has been implemented by laboratories and jurisdictions around the world. The purpose of this review is to summarize the recent literature evaluating the association between eGFR reporting and outcomes, specifically assessing its impact on nephrology referrals and characteristics of the referred population.
RECENT FINDINGS: Eight studies have evaluated the association between eGFR reporting and nephrology referrals, all published within the last 6 years. These studies consistently show an increase in referrals and referral rates following eGFR reporting. This increase in nephrology referrals was predominantly seen in women and the elderly. An increased referral rate and increased recognition of chronic kidney disease were noted amongst patients with stage 3 or higher kidney disease. Whether eGFR reporting results in an increase in 'inappropriate' referrals and increased resource use has been poorly studied.
SUMMARY: Reporting of eGFR is associated with an increase in nephrology referrals, particularly among women and the elderly. Whether eGFR reporting is associated with improved patient outcomes remains to be determined.
Authors:
Arsh Jain; Brenda R Hemmelgarn
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Current opinion in nephrology and hypertension     Volume:  20     ISSN:  1473-6543     ISO Abbreviation:  Curr. Opin. Nephrol. Hypertens.     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-04-14     Completed Date:  2011-08-15     Revised Date:  2013-05-02    
Medline Journal Info:
Nlm Unique ID:  9303753     Medline TA:  Curr Opin Nephrol Hypertens     Country:  England    
Other Details:
Languages:  eng     Pagination:  218-23     Citation Subset:  IM    
Affiliation:
Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada.
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MeSH Terms
Descriptor/Qualifier:
Chronic Disease
Glomerular Filtration Rate*
Humans
Kidney Diseases / physiopathology
Nephrology*
Referral and Consultation*
Grant Support
ID/Acronym/Agency:
//Canadian Institutes of Health Research

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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