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WHAT’S NEW IN CHRONIC KIDNEY DISEASE

WHAT’S NEW IN CHRONIC KIDNEY DISEASE. Thomas G. Ferguson, MD State Lead, CKD 4/30/13. HOW DO PATIENTS BECOME INCLUDED IN THE REGISTRY?. Lab with GFR ≤ 60 from any source Wait ≥ 90 days Repeat GFR GFR ≤ 60 included in the database. OLD CLASSIFICATION Stage 1 GFR ≥ 90

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WHAT’S NEW IN CHRONIC KIDNEY DISEASE

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  1. WHAT’S NEW IN CHRONIC KIDNEY DISEASE Thomas G. Ferguson, MD State Lead, CKD 4/30/13

  2. HOW DO PATIENTS BECOME INCLUDED IN THE REGISTRY? • Lab with GFR ≤ 60 from any source • Wait ≥ 90 days • Repeat GFR • GFR ≤ 60 included in the database

  3. OLD CLASSIFICATION Stage 1 GFR ≥ 90 Stage 2 GFR 60 - 89 Stage 3 GFR 30 - 59 Stage 4 GFR 15 - 29 Stage 5 GFR < 15 NEW CLASSIFICATION Stage 1 GFR ≥ 90 Stage 2 GFR 60 – 89 Stage 3a GFR 45 – 59 Stage 3b GFR 30 – 44 Stage 4 GFR 15 – 29 Stage 5 GFR < 15 NEW GUIDELINESCHANGES IN THE CLASSIFICATION SYSTEM

  4. OLD EQUATION MDRD EQUATION Unable to give a value for GFR > 60 NEW EQUATION EPI EQUATION Able to give values of GFR > 60 Needed for new classification system NEW GUIDELINESCHANGES IN THE eGFR EQUATION

  5. NEW GUIDELINESURINE PROTEIN (ALBUMIN) / CREATININE New classification system recognizes risk with abnormal urine protein (albumin) / creatinine ratio—increased proteinuria Appropriate actions required for abnormal ratio

  6. INSTITUTE FOR HEALTHCARE IMPROVEMENT • Open School for Healthcare Providers • 22 hour online course in • Quality • Safety • Handoffs • Management • Certification

  7. INSTITUTE FOR HEALTHCARE IMPROVEMENT • Google IHI • Click on Open School • Click on log in • Free to students, residents, and faculty • With a sponsor (champion), can apply as an institution

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