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Larger labs report kidney function routinely
October 15, 2008Labs that conduct the highest number of routine blood tests are more likely than others to report estimated glomerular filtration rate (eGFR), an important measure of kidney function that can identify early kidney disease, according to a survey funded by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), part of the National Institutes of Health (NIH). The work is reported in the October issue of the American Journal of Kidney Diseases.
"We are encouraged to find that many labs are routinely reporting eGFR, allowing earlier diagnosis and treatment of kidney disease, " said NIH Director Elias A. Zerhouni, M.D. "But the survey illustrates the need to continue NIH efforts to promote automatic reporting of eGFR by all labs so that more people can benefit from earlier diagnosis."
The survey found that more than 86 percent of the highest-volume independent labs (those in the top 5 percent) and more than 55 percent of all labs in the top quarter of high-volume labs report eGFR, in contrast to only 24 percent of low-volume labs (those in the bottom quarter). The survey demonstrates room for improvement in making eGFR readily available to primary care providers who could be treating early chronic kidney disease - primarily caused by diabetes and high blood pressure - and possibly reducing their patients' risk for kidney failure, which results in the need for dialysis or a kidney transplant.
"Estimated GFR is an important measure of kidney function that can be easily calculated using serum creatinine and a patient's age, gender, and ethnicity," said Andrew Narva, M.D., director of NIDDK's National Kidney Disease Education Program (NKDEP). " It's a good sign that the highest-volume labs are commonly reporting eGFR. We hope that lower-volume labs will follow their lead as increased reporting may result in earlier identification and treatment of chronic kidney disease." Serum creatinine is a waste product in the blood created by the normal breakdown of muscle cells during activity.
While eGFR reporting is high among high-volume labs, reporting is relatively low overall (38 percent), particularly by labs in physicians' offices (26 percent) and low-volume independent labs (39 percent). On the positive side, the survey found that about 67 percent of labs that report eGFR do so routinely - without providers needing to ask for the result.
NIH/National Institute of Diabetes and Digestive and Kidney Diseases
"Estimated GFR is an important measure of kidney function that can be easily calculated using serum creatinine and a patient's age, gender, and ethnicity," said Andrew Narva, M.D., director of NIDDK's National Kidney Disease Education Program (NKDEP). " It's a good sign that the highest-volume labs are commonly reporting eGFR. We hope that lower-volume labs will follow their lead as increased reporting may result in earlier identification and treatment of chronic kidney disease." Serum creatinine is a waste product in the blood created by the normal breakdown of muscle cells during activity.
While eGFR reporting is high among high-volume labs, reporting is relatively low overall (38 percent), particularly by labs in physicians' offices (26 percent) and low-volume independent labs (39 percent). On the positive side, the survey found that about 67 percent of labs that report eGFR do so routinely - without providers needing to ask for the result.
NIH/National Institute of Diabetes and Digestive and Kidney Diseases
Kidney Disease Current Events and Kidney Disease News RSSNew class of molecules may help prevent fatal complication in patients with kidney disease
Researchers at the University of Maryland School of Medicine have made an important discovery about why potassium builds up to dangerous levels in the bloodstream, a relatively common medical problem that affects about eight percent of hospitalized patients.
Reduction in glycotoxins from heat-processing of foods reduces risk of chronic disease
Researchers from Mount Sinai School of Medicine report that cutting back on the consumption of processed and fried foods, which are high in toxins called Advanced Glycation End products (AGEs), can reduce inflammation and actually help restore the body's natural defenses regardless of age or health status.
Help your kidneys: Pass on salt and diet soda
Individuals who consume a diet high in sodium or artificially sweetened drinks are more likely to experience a decline in kidney function, according to two papers being presented at the American Society of Nephrology's annual meeting in San Diego, California.
Can charcoal fight heart disease in kidney patients?
Charcoal may provide a new approach to managing the high rate of heart disease in patients with advanced kidney disease, according to preliminary research being presented at the American Society of Nephrology's 42nd Annual Meeting and Scientific Exposition in San Diego, CA.
Women with chronic kidney disease more likely than men to go undiagnosed
Woman are at particular risk of their primary care physicians delaying diagnosis of chronic kidney disease (CKD), according to a paper being presented at the American Society of Nephrology's 42nd Annual Meeting and Scientific Exposition in San Diego, California.
For dialysis patients, skinny is dangerous
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Protein critical for insulin secretion may be contributor to diabetes
A cellular protein from a family involved in several human diseases is crucial for the proper production and release of insulin, new research has found, suggesting that the protein might play a role in diabetes.
Learning the risks for stroke - and taking action
With this theme in mind, the European Society of Cardiology (ESC) emphasises that most of the risks for stroke are also the major risks for coronary heart disease - and thus the object of the ESC's far-reaching prevention programme.
American Dietetic Association supports IOM recommendations on school meal programs
The American Dietetic Association welcomes a report issued Wednesday, October 21, by the Institute of Medicine encouraging federal school meal programs to adopt standards that increase the nutrition content and limit the calories in meals served to schoolchildren.
Cost Effectiveness of Blood Pressure Device Evaluated
A study conducted by the University of Rochester Medical Center (URMC) demonstrates that, for certain patient populations, an experimental device that lowers blood pressure may be a cost effective treatment. The implantable device, called Rheos, is in advanced stages of testing for individuals with drug resistant hypertension.
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