Validating laboratory defined chronic kidney disease in the electronic health record for patients in primary care

Autor: Michael Kohn, Martin Frigaard, Lo Lowell, Leah S. Karliner, Anna Malkina, Carmen A. Peralta, Anna D. Rubinsky
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
Nephrology
Kidney Disease
030232 urology & nephrology
Prevalence
Comorbidity
030204 cardiovascular system & hematology
urologic and male genital diseases
lcsh:RC870-923
Cohort Studies
0302 clinical medicine
Chronic kidney disease
Validation
Electronic Health Records
Renal Insufficiency
Chronic
Medical diagnosis
Health Services
Urology & Nephrology
Middle Aged
female genital diseases and pregnancy complications
Practice Guidelines as Topic
Female
medicine.symptom
Research Article
medicine.medical_specialty
Clinical Sciences
Renal and urogenital
Sampling Studies
03 medical and health sciences
Chart
Clinical Research
Internal medicine
medicine
Humans
Renal Insufficiency
Chronic
Medical prescription
Aged
Primary Health Care
business.industry
medicine.disease
lcsh:Diseases of the genitourinary system. Urology
Good Health and Well Being
Socioeconomic Factors
Heart failure
Albuminuria
business
Electronic health record phenotype
Kidney disease
Zdroj: BMC Nephrology, Vol 20, Iss 1, Pp 1-9 (2019)
BMC Nephrology
BMC nephrology, vol 20, iss 1
ISSN: 1471-2369
DOI: 10.1186/s12882-018-1156-2
Popis: Background Electronic health record (EHR) data is increasingly used to identify patients with chronic kidney disease (CKD). EHR queries used to capture CKD status, identify comorbid conditions, measure awareness by providers, and track adherence to guideline-concordant processes of care have not been validated. Methods We extracted EHR data for primary-care patients with two eGFRcreat 15-59 mL/min/1.73 m^2 at least 90 days apart. Two nephrologists manually reviewed a random sample of 50 charts to determine CKD status, associated comorbidities, and physician awareness of CKD. We also assessed the documentation of a CKD diagnosis with guideline-driven care. Results Complete data were available on 1767 patients with query-defined CKD of whom 822 (47%) had a CKD diagnosis in their chart. Manual chart review confirmed the CKD diagnosis in 34 or 50 (68%) patients. Agreement between the reviewers and the EHR diagnoses on the presence of comorbidities was good (κ > 0.70, p
Databáze: OpenAIRE
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