The addition of an estimate value of glomerular filtration rate (GFR) per Modification of
Diet in Renal Disease [MDRD] (LEVEY) equation is being included and reported on all routine
chemistry panels in the experimental group. The control group is only having serum
creatinine, the current standard of care, reported on routine chemistry panels.
All patients already referred to or being followed by nephrologists were excluded.
Inclusion criteria were all patients in the Internal Medicine clinic at NMCSD who were sent
to the lab to obtain routine chemistry panels for follow up by their primary care providers.
The primary outcome is increased referral to nephrology in accordance with NKF K/DOQI
guidelines if GFR values are reported on routine chemistry panels. Key secondary outcomes
are Primary Care Provider knowledge of NKF K/DOQI guidelines, specifically when patients
with chronic kidney disease need to be referred to a nephrologist for further evaluation.
- All patients in the Internal Medicine Clinic at Naval Medical Center, San Diego
(NMCSD) who were sent to the lab to obtain follow up by their primary care providers.
- All patients referred to or being followed by nephrologists.