Table 4.
Resident perception (in percentage) of indications for nephrology referral stratified by chronic kidney disease clinic experience and in-house nephrology fellowship program
| Resident characteristics and responses | CKD clinic experience
|
In-house nephrology fellowship
|
||||
|---|---|---|---|---|---|---|
| No | Yes | P | No | Yes | P | |
| Resident characteristics | ||||||
| PGY1 (n = 166) | 117 | 48 | 73 | 91 | ||
| PGY2 (n = 187) | 116 | 70 | 88 | 96 | ||
| PGY3 (n = 126) | 84 | 42 | 45 | 81 | ||
| Total (n = 479) | 317 | 160 | 206 | 268 | ||
| Female gender | 43.0 | 41.8 | 0.812 | 40.0 | 44.1 | 0.379 |
| International medical training | 58.0 | 81.9 | <0.0001 | 84.0 | 52.6 | <0.0001 |
| University hospital setting | 43.2 | 47.5 | 0.375 | 14.6 | 67.5 | <0.0001 |
| Indications for nephrology referral | ||||||
| significant proteinuria (> 1 g/g) | 43.5 | 46.2 | 0.574 | 45.6 | 43.7 | 0.669 |
| fast progression of CKD (from eGFR 70 to 50 in 1 yr) | 76.0 | 84.4 | 0.035 | 79.1 | 78.4 | 0.840 |
| uncontrolled BP despite use of four antihypertensives | 65.3 | 62.5 | 0.548 | 59.2 | 67.9 | 0.051 |
| hyperkalemia due to medications | 23.3 | 30.6 | 0.086 | 27.2 | 24.6 | 0.529 |
| eGFR < 30 ml/min/1.73 m2 | 91.8 | 85.0 | 0.022 | 90.3 | 88.8 | 0.603 |
| bone and mineral disorder of CKD | 44.8 | 45.6 | 0.864 | 44.7 | 44.8 | 0.980 |
| anemia of CKD | 27.1 | 30.0 | 0.511 | 30.1 | 26.5 | 0.388 |
| dialysis setup at eGFR 15-30 ml/min/1.73 m2 | 57.4 | 61.2 | 0.423 | 60.2 | 58.2 | 0.664 |
PGY, postgraduate year; eGFR, estimated glomerular filtration rate.