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10.1186/s12882-017-0646-y http://scihub22266oqcxt.onion/10.1186/s12882-017-0646-y C5501411!5501411!28687072     free     free     free Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       BMC+Nephrol 2017 ; 18 (ä): ä Nephropedia Template TP {{tp|p=28687072|t=2017. Evaluating the feasibility of the KDIGO CKD referral recommendations |pdf=|usr=}}{{28687072}} gab.com Text Evaluating the feasibility of the KDIGO CKD referral recommendations JO: BMC Nephrol http://www.kidney.de/pget.php?&tw=1&pmid=28687072 #FOAvip Background: In 2012, the international nephrology organization Kidney Disease Improving Global Outcomes (KDIGO) released recommendations for nephrology referral for chronic kidney disease (CKD) patients. The feasibility of adhering to these recommendations is unknown. Methods: We conducted a retrospective analysis of the primary care population at Brigham and Women?s Hospital (BWH). We translated referral recommendations based upon serum creatinine, estimated glomerular filtration rate (eGFR), and albuminuria into a set of computable criteria in order to project referral volume if the KDIGO referral recommendations were to be implemented. Using electronic health record data, we evaluated each patient using the computable criteria at the times that the patient made clinic visits in 2013. We then compared the projected referral volume with baseline nephrology clinic volume. Results: Out of 56,461 primary care patients at BWH, we identified 5593 (9.9%) who had CKD based on albuminuria or estimated GFR. Referring patients identified by the computable criteria would have resulted in 2240 additional referrals to nephrology. In 2013, this would represent a 38.0% (2240/5892) increase in total nephrology patient volume and 67.3% (2240/3326) increase in new referral volume. Conclusions: This is the first study to examine the projected impact of implementing the 2012 KDIGO referral recommendations. Given the large increase in the number of referrals, this study is suggestive that implementing the KDIGO referral guidelines may not be feasible under current practice models due to a supply-demand mismatch. We need to consider new strategies on how to deliver optimal care to CKD patients using the available workforce in the U.S. health care system. Twit Text FOAVip Evaluating the feasibility of the KDIGO CKD referral recommendations ????BMC Nephrol http://www.kidney.de/pget.php?&tw=1&pmid=28687072 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=28687072 #FOAvip English Wikipedia <ref>{{Cite pmid|28687072}}</ref> Evaluating the feasibility of the KDIGO CKD referral recommendations #MMPMID28687072 Singh K; Waikar SS; Samal L BMC Nephrol 2017[]; 18 (ä): ä PMID28687072show ga Background: In 2012, the international nephrology organization Kidney Disease Improving Global Outcomes (KDIGO) released recommendations for nephrology referral for chronic kidney disease (CKD) patients. The feasibility of adhering to these recommendations is unknown. Methods: We conducted a retrospective analysis of the primary care population at Brigham and Women?s Hospital (BWH). We translated referral recommendations based upon serum creatinine, estimated glomerular filtration rate (eGFR), and albuminuria into a set of computable criteria in order to project referral volume if the KDIGO referral recommendations were to be implemented. Using electronic health record data, we evaluated each patient using the computable criteria at the times that the patient made clinic visits in 2013. We then compared the projected referral volume with baseline nephrology clinic volume. Results: Out of 56,461 primary care patients at BWH, we identified 5593 (9.9%) who had CKD based on albuminuria or estimated GFR. Referring patients identified by the computable criteria would have resulted in 2240 additional referrals to nephrology. In 2013, this would represent a 38.0% (2240/5892) increase in total nephrology patient volume and 67.3% (2240/3326) increase in new referral volume. Conclusions: This is the first study to examine the projected impact of implementing the 2012 KDIGO referral recommendations. Given the large increase in the number of referrals, this study is suggestive that implementing the KDIGO referral guidelines may not be feasible under current practice models due to a supply-demand mismatch. We need to consider new strategies on how to deliver optimal care to CKD patients using the available workforce in the U.S. health care system. äEvaluating the feasibility of the KDIGO CKD referral recommendations (epmc).pdf DeepDyve Pubget Overpricing