At a glance
ClinicalIndex Comparison Record- ✓Age 18 to 75 years inclusive
- ✓Confirmed CKD: eGFR <60 cc/min/1.73m² on 2 or more occasions, including most recent and a prior value ≥1 week before
- ✓Suboptimal CKD care in at least one of 5 key areas: blood pressure, A1C, kidney-protective medication use, NSAID use, or nephrology referral
- ✓Blood pressure ≥130/80 mmHg on 2 or more separate encounter dates including most recent visit
- ✕Currently enrolled in hospice
- ✕Active cancer or undergoing chemotherapy
- ✕Pregnancy in the last year
- ✕End-stage renal disease (ESRD)
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A Technology-Driven Intervention to Improve Identification and Management of Chronic Kidney Disease in Primary Care
In Brief
A clinical study evaluating CKD enhanced clinical decision support for Chronic Kidney Diseases and 2 related conditions. Completed, enrolled 6,295 participants across 1 site.
Detailed Summary
To prevent serious chronic kidney disease (CKD) complications such as end-stage renal disease and cardiovascular events, better strategies are needed to identify, treat, and refer CKD patients seen in primary care clinics. This project expands an existing and successful Web-based clinical decision support (CDS) system to include key elements of CKD care and rigorously assesses the impact of this intervention on quality of CKD care for patients seen in primary care settings, including better recognition of CKD, better management of blood pressure and glucose, and more timely referral to nephrologists when appropriate. This low-cost and highly scalable intervention has high potential to improve CKD care and translate massive public and private sector investments in health informatics into tangible health benefits for large numbers of patients with CKD.
Study Details
Timeline
Interventions
The CKD-CDS intervention provides clinical recommendations at any primary care visit for patients with a deficit in any of 5 key elements of CKD care.