Abstract
Racial disparities in provision of healthcare are widespread in the United States but have not been specifically assessed in provision of chronic kidney disease (CKD) care. We conducted a retrospective cohort study of the clinical database used in a Department of Defense (DOD) medical system. Beneficiaries studied were DOD-eligible beneficiaries with CKD stage 3 (n = 7729) and 4 (n = 589) using the modified Modification of Diet in Renal Disease (MDRD)-estimated GFR formula but requiring manual correction for Black race. Compliance with selected Kidney Disease Outcomes Quality Initiative (KDOQI) CKD recommended targets (monitoring of recommended laboratory data, prescription of recommended medications, and referral to nephrology) was assessed over a 12-mo period, stratified by CKD stage. Logistic regression analysis was used to assess whether race (White, Black, or other) was independently associated with provider compliance with targets, adjusted for demographic factors and burden of comorbid conditions. Among the targets, only monitoring of LDL cholesterol was significantly less common among Blacks. For all other measures, compliance was either not significantly different or significantly higher for Black compared with White b...Continue Reading
References
Apr 28, 2001·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·P P GargN R Powe
Sep 17, 2002·Annals of Internal Medicine·Kraig S KinchenNeil R Powe
Dec 1, 2004·American Journal of Public Health·LeChauncy D WoodardLaura A Petersen
Mar 11, 2005·Health Affairs·David SatcherGeorge Rust
Apr 1, 2005·Journal of the American Society of Nephrology : JASN·Tazeen H JafarAndrew S Levey
Jun 3, 2005·Pediatrics·Laura P ShonePeter G Szilagyi
Oct 28, 2005·BMC Nephrology·Oliver LenzDavid Roth
Mar 31, 2006·The Journal of the American Dental Association·Jeffrey J HymanAndrew K York
Apr 28, 2006·Journal of the American Society of Nephrology : JASN·William McClellanGeorge Howard
Mar 16, 2007·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·D AnsellC R K Dudley
May 3, 2007·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Christina WyattRajeev Rohatgi
May 8, 2007·Journal of the American College of Surgeons·Devin E EckhoffArnold G Diethelm
Jun 15, 2007·JAMA : the Journal of the American Medical Association·Ioana PopescuGary E Rosenthal
Aug 21, 2007·Clinical Journal of the American Society of Nephrology : CJASN·Meenal B PatwardhanWilliam E Haley
Citations
Nov 6, 2010·Journal of the Chinese Medical Association : JCMA·Ming-Ju WuYa-Wen Chuang
Jan 24, 2012·BMC Nephrology·Pradeep AroraJames W Lohr
Sep 5, 2013·Annals of Surgical Oncology·Sukhyung LeeMatthew H Katz
Nov 20, 2012·Journal of the American Society of Nephrology : JASN·Roberto B Vargas, Keith C Norris
Feb 12, 2011·Clinical Journal of the American Society of Nephrology : CJASN·James B WetmoreJohn A Spertus
Jan 29, 2011·Clinical Journal of the American Society of Nephrology : CJASN·Chavon OnumahMark E Rosenberg
Dec 22, 2009·Clinical and Experimental Nephrology·Benjamin D MorrowCasey L Cotant
Oct 15, 2013·Seminars in Nephrology·Susanne B NicholasKeith C Norris
Jun 12, 2009·Kidney International·Stephen F DerosePeter W Crooks
Jan 8, 2015·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Rachael Lisa MortonAlan Cass
Jul 22, 2008·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Keith NorrisAllen R Nissenson
Sep 20, 2015·Circulation·Csaba P KovesdyKamyar Kalantar-Zadeh
May 26, 2018·Clinical Journal of the American Society of Nephrology : CJASN·Claire GerberTamara Isakova
May 28, 2009·Journal of the American Society of Nephrology : JASN·Keith C Norris, Lawrence Y Agodoa
Jun 6, 2008·Journal of the American Society of Nephrology : JASN·Keith Norris, Allen R Nissenson
Jun 27, 2008·Journal of the American Society of Nephrology : JASN·Donald E Wesson
Feb 22, 2008·Clinical Journal of the American Society of Nephrology : CJASN·Keith Norris, Allen Nissenson
Mar 16, 2013·Clinical Journal of the American Society of Nephrology : CJASN·Kevin C AbbottChristina M Yuan
Apr 9, 2011·American Journal of Audiology·Thomas M HelferKim Schairer
Apr 11, 2017·Kidney Research and Clinical Practice·Farzad Firouzi JahantighBehzad Aslani Avilaq
Aug 9, 2017·American Journal of Nephrology·Kimberly HardingSusanne B Nicholas
Sep 28, 2021·JAMA Network Open·Chi D ChuUNKNOWN Centers for Disease Control and Prevention Chronic Kidney Disease Surveillance Team