Albuminuria testing and nephrology care among insured US adults with chronic kidney disease: a missed opportunity.

ABSTRACT:

Background

In chronic kidney disease (CKD), assessment of both estimated glomerular filtration rate (eGFR) and albuminuria are necessary for stratifying risk and determining the need for nephrology referral. The Kidney Disease: Improving Global Outcomes clinical practice guidelines for CKD recommend nephrology referral for eGFR < 30 ml/min/1.73m² or for urinary albumin/creatinine ratio ≥ 300 mg/g.

Methods

Using a national claims database of US patients covered by commercial insurance or Medicare Advantage, we identified patients with CKD who were actively followed in primary care. We examined receipt of nephrology care within 1 year among these patients according to their stage of CKD, classified using eGFR and albuminuria categories. Multivariable logistic regres

SUBMITTER: Chu CD 

PROVIDER: S-EPMC9700954 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature