Impact of a Primary Care CKD Registry in a US Public Safety-Net Health Care Delivery System: A Pragmatic Randomized Trial

American Journal of Kidney Diseases

Volumn 72, Issue 2, 2018, Pages 168-177

  Tuot, Delphine S ^a   McCulloch, Charles E ^b   Velasquez, Alexandra ^a   Schillinger, Dean ^a,c   Hsu, Chi yuan ^a   Handley, Margaret ^a,b,c   Powe, Neil R ^a,c  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c SAN FRANCISCO GENERAL HOSPITAL   (United States)

Author keywords

albuminuria; angiotensin converting enzyme inhibitors (ACEi); angiotensin receptor blockers (ARB); best practices; blood pressure control; Chronic kidney disease (CKD); CKD management; CKD registry; disease progression; evidence based care; guideline implementation; hypertension; pragmatic trial; process of care

Indexed keywords

ANGIOTENSIN RECEPTOR ANTAGONIST; DIPEPTIDYL CARBOXYPEPTIDASE INHIBITOR;

ADULT; ALBUMINURIA; ARTICLE; BLACK PERSON; BLOOD PRESSURE MEASUREMENT; BLOOD PRESSURE REGULATION; CANCER SCREENING; CAUCASIAN; CHRONIC KIDNEY FAILURE; COMPARATIVE STUDY; DISEASE REGISTRY; DISEASE SEVERITY; ESTIMATED GLOMERULAR FILTRATION RATE; FEEDBACK SYSTEM; FEMALE; HEALTH CARE DELIVERY; HISPANIC; HUMAN; HYPERTENSION; MAJOR CLINICAL STUDY; MALE; POINT OF CARE SYSTEM; PRESCRIPTION; PRIMARY MEDICAL CARE; PROGRAM IMPACT; PUBLIC HEALTH SERVICE; SAFETY; SYSTOLIC BLOOD PRESSURE; UNITED STATES; AGED; CLINICAL TRIAL; CONTROLLED STUDY; MIDDLE AGED; MULTICENTER STUDY; PRIMARY HEALTH CARE; PROCEDURES; PUBLIC HEALTH; RANDOMIZED CONTROLLED TRIAL; REGISTER; SAFETY NET HOSPITAL; TRENDS;

ADULT; AGED; DELIVERY OF HEALTH CARE; FEMALE; HUMANS; MALE; MIDDLE AGED; PRIMARY HEALTH CARE; PUBLIC HEALTH; REGISTRIES; RENAL INSUFFICIENCY, CHRONIC; SAFETY-NET PROVIDERS; UNITED STATES;

EID: 85046116204     PISSN: 02726386     EISSN: 15236838     Source Type: Journal    
DOI: 10.1053/j.ajkd.2018.01.058     Document Type: Article

References (42)

1. Coresh, J., Selvin, E., Stevens, L.A., et al. Prevalence of chronic kidney disease in the United States. JAMA 298:17 (2007), 2038–2047.
2. Go, A.S., Chertow, G.M., Fan, D., McCulloch, C.E., Hsu, C.Y., Chronic kidney disease and the risks of death, cardiovascular events, and hospitalization. N Engl J Med 351:13 (2004), 1296–1305.
3. Saran, R., Robinson, B., Abbott, K.C., et al. US Renal Data System 2016 annual data report: epidemiology of kidney disease in the United States. Am J Kidney Dis 69:3 suppl 1 (2017), A7–A8.
4. Barrett, B.J., Applying multiple interventions in chronic kidney disease. Semin Dial 16:2 (2003), 157–164.
5. Sarnak, M.J., Greene, T., Wang, X., et al. The effect of a lower target blood pressure on the progression of kidney disease: long-term follow-up of the Modification of Diet in Renal Disease Study. Ann Intern Med 142:5 (2005), 342–351.
6. Nissenson, A.R., Collins, A.J., Hurley, J., Petersen, H., Pereira, B.J., Steinberg, E.P., Opportunities for improving the care of patients with chronic renal insufficiency: current practice patterns. J Am Soc Nephrol 12:8 (2001), 1713–1720.
7. Allen, A.S., Forman, J.P., Orav, E.J., Bates, D.W., Denker, B.M., Sequist, T.D., Primary care management of chronic kidney disease. J Gen Intern Med 26:4 (2011), 386–392.
8. Tuot, D.S., Plantinga, L.C., Hsu, C.Y., Powe, N.R., Is awareness of chronic kidney disease associated with evidence-based guideline-concordant outcomes?. Am J Nephrol 35:2 (2012), 191–197.
9. Plantinga, L.C., Tuot, D.S., Powe, N.R., Awareness of chronic kidney disease among patients and providers. Adv Chronic Kidney Dis 17:3 (2010), 225–236.
10. Tuot, D.S., Plantinga, L.C., Hsu, C.Y., et al. Chronic kidney disease awareness among individuals with clinical markers of kidney dysfunction. Clin J Am Soc Nephrol 6:8 (2011), 1838–1844.
11. Tahir, M.A., Dmitrieva, O., de Lusignan, S., et al. Confidence and quality in managing CKD compared with other cardiovascular diseases and diabetes mellitus: a linked study of questionnaire and routine primary care data. BMC Fam Pract, 12, 2011, 83.
12. Simon, J., Powers, M., Chronic Disease Registries: A Product Review. 2004, California HealthCare Foundation, Oakland, CA.
13. Weingarten, S.R., Henning, J.M., Badamgarav, E., et al. Interventions used in disease management programmes for patients with chronic illness-which ones work? Meta-analysis of published reports. BMJ 325 (2002), 925–933.
14. Georgiou, A., Burns, J., McKenzie, S., Penn, D., Flack, J., Harris, M.F., Monitoring change in diabetes care using diabetes registers–experience from divisions of general practice. Aust Fam Physician 35:1-2 (2006), 77–80.
15. Gheorghiade, M., Albert, N.M., Curtis, A.B., et al. Medication dosing in outpatients with heart failure after implementation of a practice-based performance improvement intervention: findings from IMPROVE HF. Congest Heart Fail 18:1 (2012), 9–17.
16. Drawz, P.E., Miller, R.T., Singh, S., Watts, B., Kern, E., Impact of a chronic kidney disease registry and provider education on guideline adherence–a cluster randomized controlled trial. BMC Med Inform Decis Mak, 12, 2012, 62.
17. Abdel-Kader, K., Fischer, G.S., Li, J., Moore, C.G., Hess, R., Unruh, M.L., Automated clinical reminders for primary care providers in the care of CKD: a small cluster-randomized controlled trial. Am J Kidney Dis 58:6 (2011), 894–902.
18. Jones, C., Roderick, P., Harris, S., Rogerson, M., An evaluation of a shared primary and secondary care nephrology service for managing patients with moderate to advanced CKD. Am J Kidney Dis 47:1 (2006), 103–114.
19. McBride, D., Dohan, D., Handley, M.A., Powe, N.R., Tuot, D.S., Developing a CKD registry in primary care: provider attitudes and input. Am J Kidney Dis 63:4 (2014), 577–583.
20. Whelton, P.K., He, J., Appel, L.J., et al. Primary prevention of hypertension: clinical and public health advisory from The National High Blood Pressure Education Program. JAMA 288:15 (2002), 1882–1888.
21. Tuot, D.S., Velasquez, A., McCulloch, C.E., et al. The Kidney Awareness Registry and Education (KARE) study: protocol of a randomized controlled trial to enhance provider and patient engagement with chronic kidney disease. BMC Nephrol, 16, 2015, 166.
22. Vittinghoff, E., Regression Methods in Biostatistics: Linear, Logistic, Survival, and Repeated Measures Models. 2nd ed., 2012, Springer, New York, NY.
23. Kagoma, Y.K., Weir, M.A., Iansavichus, A.V., et al. Impact of estimated GFR reporting on patients, clinicians, and health-care systems: a systematic review. Am J Kidney Dis 57:4 (2011), 592–601.
24. Galbraith, L., Jacobs, C., Hemmelgarn, B.R., Donald, M., Manns, B., Jun, M., Chronic disease management interventions for people with chronic kidney disease in primary care: a systematic review and meta-analysis. Nephrol Dial Transplant 33:1 (2017), 112–121.
25. Wagner, E.H., Austin, B.T., Davis, C., Hindmarsh, M., Schaefer, J., Bonomi, A., Improving chronic illness care: translating evidence into action. Health Aff (Millwood) 20:6 (2001), 64–78.
26. Peterson K, Helfand M, Humphrey L, Christensen V, Carson S. Evidence Brief: Effectiveness of Intensive Primary Care Programs. VA Evidence-based Synthesis Program Project #09-199;2013.
27. Xie, X., Liu, Y., Perkovic, V., et al. Renin-angiotensin system inhibitors and kidney and cardiovascular outcomes in patients with CKD: a Bayesian network meta-analysis of randomized clinical trials. Am J Kidney Dis 67:5 (2016), 728–741.
28. Murphy, D., McCulloch, C.E., Lin, F., et al. Trends in prevalence of chronic kidney disease in the United States. Ann Intern Med 165:7 (2016), 473–481.
29. Yoon, S.S., Gu, Q., Nwankwo, T., Wright, J.D., Hong, Y., Burt, V., Trends in blood pressure among adults with hypertension: United States, 2003 to 2012. Hypertension 65:1 (2015), 54–61.
30. Selvin, E., Parrinello, C.M., Sacks, D.B., Coresh, J., Trends in prevalence and control of diabetes in the United States, 1988-1994 and 1999-2010. Ann Intern Med 160:8 (2014), 517–525.
31. Gu, Q., Burt, V.L., Dillon, C.F., Yoon, S., Trends in antihypertensive medication use and blood pressure control among United States adults with hypertension: the National Health and Nutrition Examination Survey, 2001 to 2010. Circulation 126:17 (2012), 2105–2114.
32. Hallan, S.I., Matsushita, K., Sang, Y., et al. Age and association of kidney measures with mortality and end-stage renal disease. JAMA 308:22 (2012), 2349–2360.
33. Grams, M.E., Sang, Y., Ballew, S.H., et al. A meta-analysis of the association of estimated GFR, albuminuria, age, race, and sex with acute kidney injury. Am J Kidney Dis 66:4 (2015), 591–601.
34. Matsushita, K., Coresh, J., Sang, Y., et al. Estimated glomerular filtration rate and albuminuria for prediction of cardiovascular outcomes: a collaborative meta-analysis of individual participant data. Lancet Diabetes Endocrinol 3:7 (2015), 514–525.
35. Tangri, N., Stevens, L.A., Griffith, J., et al. A predictive model for progression of chronic kidney disease to kidney failure. JAMA 305:15 (2011), 1553–1559.
36. Carrero, J.J., Grams, M.E., Sang, Y., et al. Albuminuria changes are associated with subsequent risk of end-stage renal disease and mortality. Kidney Int 91:1 (2017), 244–251.
37. Stevens, P.E., Levin, A., Kidney Disease: Improving Global Outcomes Chronic Kidney Disease Guideline Development Work Group Members. Evaluation and management of chronic kidney disease: synopsis of the kidney disease: improving global outcomes 2012 clinical practice guideline. Ann Intern Med 158:11 (2013), 825–830.
38. Manns, L., Scott-Douglas, N., Tonelli, M., et al. A population-based analysis of quality indicators in CKD. Clin J Am Soc Nephrol 12:5 (2017), 727–733.
39. de Boer, I.H., Kovesdy, C.P., Navaneethan, S.D., et al. Pragmatic clinical trials in CKD: opportunities and challenges. J Am Soc Nephrol 27:10 (2016), 2948–2954.
40. Jaffe, M.G., Lee, G.A., Young, J.D., Sidney, S., Go, A.S., Improved blood pressure control associated with a large-scale hypertension program. JAMA 310:7 (2013), 699–705.
41. Halladay, J.R., DeWalt, D.A., Wise, A., et al. More extensive implementation of the chronic care model is associated with better lipid control in diabetes. J Am Board Fam Med 27:1 (2014), 34–41.
42. Tuot, D.S., Grubbs, V., Chronic kidney disease care in the US safety net. Adv Chronic Kidney Dis 22:1 (2015), 66–73.