Association of physician care with mortality in Kidney Early Evaluation Program (KEEP) participants.

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
Georges SaabKEEP Investigators

Abstract

People with or at high risk of chronic kidney disease (CKD) are at increased risk of premature morbidity and mortality. We sought to examine the effect of care provided by a primary care physician (PCP) on survival for all participants in the National Kidney Foundation's Kidney Early Evaluation Program (KEEP) and the effect of care provided by a nephrologist on survival for KEEP participants with estimated glomerular filtration rate (eGFR) <60 mL/min/1.73 m(2). Provision of care by a PCP (n = 138,331) or nephrologist (n = 10,797) was defined using self-report of seeing that provider within the past year. Survival was ascertained by linking KEEP data to the Social Security Administration Death Master File. Multivariable Cox proportional hazards models examining the relationship between primary care and nephrologist provider status adjusted for age, sex, race, smoking status, education, health insurance, diabetes, cardiovascular disease, hypertension, cancer, albuminuria, body mass index, baseline eGFR, and hemoglobin level, with nephrology models further adjusting for calcium, phosphorus, and parathyroid hormone levels. Of all participants, 70.9% (98,050 of 138,331) reported receiving PCP care; older age and female sex were asso...Continue Reading

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Citations

Mar 27, 2013·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Adam T Whaley-ConnellPeter A McCullough
Jul 4, 2015·Journal of General Internal Medicine·Ana C RicardoUNKNOWN CRIC Study Investigators
Feb 22, 2012·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Adam T Whaley-ConnellPeter A McCullough
Jan 13, 2015·Advances in Chronic Kidney Disease·Susanne B NicholasKeith C Norris
Jan 22, 2021·Deutsche medizinische Wochenschrift·Paul VoigtThomas Frese

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