Table 5.
Processes of care pre and post CKD recognition in the EHR problem list propensity-score matched analysis
| CKD Recognition in EHR Problem List N=1896 | Propensity matched controls N=1896 | |||
|---|---|---|---|---|
|
| ||||
| CKD process of care measurement | PRE | POST | PRE | POST |
| Nephrology Office visit, n (%) | 327(17.2) | 412(21.7) | 270(14.2) | 191(10.1) |
| ACE/ARB, n Yes, (%) | 1438(75.8) | 1341(70.7) | 1217(64.2) | 1172(61.8) |
| Statin, n Yes, (%) | 1305(68.8) | 1291(68.1) | 1153(60.8) | 1123(59.2) |
| Vitamin D level checked, n (%) | 437(23.0) | 594(31.3) | 428(22.6) | 467(24.6) |
| iPTH level checked, n (%) | 212(11.2) | 523(27.6) | 199(10.5) | 158(8.3) |
| Phosphorus level checked, n (%) | 297(15.7) | 562(29.6) | 278(14.7) | 224(11.8) |
| Any Proteinuria Checked | 1022(53.9) | 1013(53.4) | 1036(54.6) | 930(49.1) |
| Summary Measure (sum 0–4) | ||||
| None of the 4 labs checked, n (%) | 679(35.8) | 624(32.9) | 664(35.0) | 753(39.7) |
| Any 1 of the 4 labs checked, n (%) | 726(38.3) | 526(27.7) | 771(40.7) | 701(37.0) |
| Any 2 of the 4 labs checked, n (%) | 301(15.9) | 294(15.5) | 282(14.9) | 296(15.6) |
| Any 3 of the 4 labs checked, n (%) | 120(6.3) | 230(12.1) | 110(5.8) | 98(5.2) |
| All 4 of the 4 labs checked, n (%) | 70(3.7) | 222(11.7) | 69(3.6) | 48(2.5) |
CKD = chronic kidney disease; EHR = electronic health record; eGFR = estimated glomerular filtration rate
McNemar’s test P<0.05 for change pre-post in measurement of Vitamin D, iPTH, phosphorus, nephrology visit and ACE/ARB among recognized patients. Among non-recognized iPTH, phosphorus, proteinuria, nephrology visits, ACE/ARB and statins P <0.05.