Improving Rates of Nephrology Referral for Patients with Chronic Kidney Disease in Resident Clinic

Presenter Information

Akanksha Arya, MD, Thomas Jefferson UniversityFollow
Rabia Iqbal, MD, Thomas Jefferson UniversityFollow
Rahed Mohammed, MD, Thomas Jefferson UniversityFollow
Neveda Murugesan, MD, Thomas Jefferson UniversityFollow
Jillian Zavodnick, MD, Thomas Jefferson UniversityFollow

Start Date

5-27-2021 9:00 AM

End Date

5-27-2021 5:00 PM

Description

• According to the KDIGO (Kidney Disease Improving Global Outcomes), evaluation by a nephrologist is recommended for patients with CKD stage 4 or higher (corresponding to a GFR of 30 or lower).
• Studies have shown that patients who are not referred to a nephrologist or referred later suffer from increased complications of renal disease, accelerated progression to ESRD, and have an increased overall mortality rate.
• At Jefferson Hospital Ambulatory Practice (JHAP), we noted decreased rates of nephrology follow-up in our patients with chronic kidney disease stage 4 and 5.
• We identified that the most prevalent reason for the decreased referral rates is due to the lack of knowledge of the KDIGO guidelines.
• Our goals were to implement an intervention to educate our internal medicine residents and improve the referral rates for advanced chronic kidney disease in our practice.

Keywords

CKD, resident clinics, nephrology, referral

Comments

Presented at the 2021 House Staff Quality Improvement and Patient Safety Conference