Table 2

Comparison of Use of eGFR Value Prior to, and After, Automatic Reporting (n = 19)
Use of eGFR Value Before Automatic Reporting
Common Theme and Key Findings PCP Allied Totals Illustrative Quotes
(n = 13) (n = 6) (n = 19)
Provider Calculated eGFR Prior I would sometimes calculate it [eGFR]to see, but it wasn’t common. And that was generally if their creatinine wasn’t normal, just so I’d have a better idea of how bad their GFR was. But I wouldn’t if they were older and they had a normal creatinine. – IM PCP
· sometimes to occasionally 6 0 6
· rarely to never 7 6 13 No, I never calculated it [GFR]… I would just look at their creatinines and if they were elevated…. – FM NP
Provider Primarily Utilized Creatinine
· yes 13 6 19 … all I ever did [prior] was keep track of patients’ creatinines. – FM PCP
Use of eGFR Value After Automatic Reporting
Common Theme and Key Findings PCP Allied Totals Illustrative Quotes
(n = 13) (n = 6) (n = 19)
Changed Overall Approach to CKD Management There’s a number of folks [with Stage] 2 CKD …, I feel like it helps me manage them a lot better. –FM NP
· yes 8 4 12 Definitely it has shifted my clinical practice…I think I run less and less into trouble ordering certain medications. – IM PCP
· no / not much 5 2 7 It hasn’t necessarily changed my approach… It may have just labeled them as having now another problem. – IM PCP
Utilization of eGFR & Creatinine Values in Decision-making
· uses both 11 4 15 Now I look at the trends in both creatinine and their GFR. And I do update in the patient’s problem list… - IM PCP
· uses eGFR more often 2 1 3 I do look at the trend of GFR, and that helps me, first of all, in updating the diagnosis or putting the diagnosis in the problem list… It’s very helpful. So, yeah, I do look [eGFR] up a lot. – IM PCP
· uses creatinine more often 0 1 1

Smith et al.

Smith et al. BMC Nephrology 2012 13:154   doi:10.1186/1471-2369-13-154

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