Table 3.
Change in quality metrics of stage 3 chronic kidney disease registry based on diabetes status prior to and after implementation of automated urinary albumin testinga
Metric | April 2018 | April 2019 | April 2020 | p value |
Albuminuria testing within 1 y, % | ||||
Diabetes | 38.1 | 81.7 | 77.8 | < 0.001 |
No diabetes | 20 | 83.9 | 75.2 | < 0.001 |
ACE inhibitor or ARB use, % | ||||
Diabetes | 78.8 | 78.7 | 78.3 | 0.83 |
No diabetes | 57.6 | 57.9 | 59.5 | 0.07 |
ACE inhibitor or ARB use with renal indications,b % | ||||
Diabetes | 78.5 | 81.3 | 80.8 | 0.18 |
No diabetes | 73 | 76 | 78.4 | 0.39 |
a Automated urinary albumin testing was implemented May 2018.
b Renal indication for ACE inhibitor or ARB defined as active diagnosis of hypertension and random urinary albumin creatinine ratio > 30 mg/g in diabetics or random urinary albumin creatinine ratio > 300 mg/g in nondiabetics.
ACE = angiotensin-converting enzyme; ARB, angiotensin receptor blocker.