Detection of chronic kidney disease with laboratory reporting of estimated glomerular filtration rate and an educational program
Detection of chronic kidney disease with laboratory reporting of estimated glomerular filtration rate and an educational program
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DOI：
10.1001/archinte.164.16.1788
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发表时间：
2004-09-13
影响因子：
--
通讯作者：
Ooi, D
中科院分区：
文献类型：
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作者：
Akbari, A;Swedko, PJ;Ooi, D
背景：血清肌酐浓度是慢性肾脏疾病的一个不充分的筛选试验，特别是在老年患者中。我们假设，实验室报告的估计肾小球滤过率（GFR）伴随着教育干预将提高认识慢性肾脏病（CKD）：方法：我们进行了一项前后研究，在门诊家庭医学实践，患者65岁或以上的人Cockcroft-Gault GFR可以计算出他们的医疗记录。干预措施包括由医院实验室沿着自动报告GFR估计值，以及针对初级保健医生的教育干预。主要结局是CKD的识别（定义为Cockroft-Gault GFR
Background: Serum creatinine concentration is an inadequate screening test for chronic kidney disease, especially in elderly patients. We hypothesized that laboratory reporting of estimated glomerular filtration rate (GFR) accompanied with an educational intervention would improve recognition of chronic kidney disease (CKD).Methods: We conducted a before-and-after study at an outpatient family medicine practice, Patients 65 years or older for whom a Cockcroft-Gault GFR could be calculated from their medical record were included. The intervention consisted of automatic reporting of estimated GFR by the hospital laboratory along with an educational intervention directed toward the primary care physicians. The primary outcome was the recognition of CKD (defined as a Cockroft-Gault GFR