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. 2012 Mar 20;184(5):E269–E276. doi: 10.1503/cmaj.110678

Table 3:

Criteria of appropriateness observed in referral packages before and after automatic reporting of the estimated glomerular filtration rate began*

Criterion Period; no. (%) of referrals Percentage-point change (95% CI)
Before reporting began After reporting began
Estimated GFR < 30 mL/min per 1.73 m2 n = 1137
214 (18.8)
n = 1352
322 (23.8)
5.0 (1.8 to 8.2)
Proteinuria n = 588§
85 (14.5)
n = 697§
113 (16.2)
1.7 (−2.2 to 5.7)
Progressive chronic kidney disease n = 661
150 (22.7)
n = 796
185 (23.2)
0.5 (−3.8 to 4.9)
Family physician unable to achieve treatment target n = 1207**
49 (4.1)
n = 1465**
77 (5.3)
1.2 (−0.4 to 2.8)
Specific question by family physician n = 1207**
397 (32.9)
n = 1465**
427 (29.2)
−3.7 (−7.3 to −0.2)

Note: CI = confidence interval, GFR = glomerular filtration rate.

*

A referral was judged to be inappropriate if it met none of the criteria.

Protein excretion > 1 g/d.

Number of referrals in which estimated GFR could be calculated.

§

Number of referrals in which quantification of protein excretion was performed.

Number of referrals in which determination of progressive chronic kidney disease was possible.

**

Total number of referrals.