Receipt of Nephrology Care and Clinical Outcomes Among Veterans With Advanced CKD.

ABSTRACT:

Background

Clinical practice guidelines recommend referral to nephrology when estimated glomerular filtration rate (eGFR) decreases to <30mL/min/1.73m²; however, evidence for benefits of nephrology care are mixed.

Study design

Observational cohort using landmark analysis.

Settings & participants

A national cohort of veterans with advanced chronic kidney disease, defined as an outpatient eGFR≤30mL/min/1.73m² for January 1, 2010, through December 31, 2010, and a prior eGFR<60mL/min/1.73m², using administrative and laboratory data from the Department of Veterans Affairs and the US Renal Data System.

Predictor

Receipt and frequency of outpatient nephrology care over 12 months.

Outcomes

Survival and progression to end-stage re

SUBMITTER: Fung E 

PROVIDER: S-EPMC5651183 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature