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Nephropathy

Diabetes is one of the leading causes of renal failure, which then requires dialysis and transplant. Early screening for nephropathy can identify patients who need to be more aggressively managed by the primary care doctor in conjunction with a nephrologist in order to reduce the risk. Routine laboratory studies, performed on a regular basis to examine the urine for protein, have proven to be a valuable mechanism to identify these at-risk patients. Developing office-based processes to ensure that all patients with diabetes receive screening urine tests on a regular basis is within reach of the ‘transformed practice.’ Below are some resources to assist health care practices that are interested in improving their performance around this important outcome.

Kidney Resources


​Resource Link ​Brief Description of Resource
Frequently Asked Questions About GFR Estimate (PDF, 1.77 MB) ​Article: National Kidney Foundation

An FAQ about glomerular filtration rate (GFR) estimates.
Glomerular Filtration Rate (GFR) Calculators ​Tool: National Kidney Disease Education Program

GFR calculators to estimate kidney function.
eGFR Calculator ​Tool: National Kidney Foundation

An eGFR calculator for iPhone or Android.
Managing Your Adult Patients Who Have a Kidney Transplant (PDF, 974 KB) ​Article: National Kidney Foundation

This resource is for U.S. primary care providers (PCPs) who may see kidney transplant recipients in their offices. This booklet, based on select guidelines from the Kidney Disease Outcomes Quality Initiative (NKF KDOQI)™ U.S. Commentary on the 2009 KDIGO Clinical Practice Guideline for the Care of Kidney Transplant Recipients, will help PCPs who care for kidney transplant recipients provide the necessary evidence-based chronic kidney disease (CKD) care.
Guidelines for CKD Care ​Article: National Kidney Foundation

Clinical practice guidelines and clinical practice recommendations for diabetes and chronic kidney disease from the national kidney foundation.
​National Kidney Foundation: KDOQI Clinical Practice Guideline for Diabetes and CKD: 2012 Update (PDF, 1.2 MB) ​Clinical Guidelines: National Kidney Foundation

The National Kidney Foundation Kidney Disease Outcomes Quality Initiative (NKF KDOQI)™ evidence-based clinical practice guidelines for all stages of chronic kidney disease (CKD) and related complications.
Diabetic Nephropathy—The Family Physician’s Role Article: American Family Physician

An article highlighting the family physician’s role in diabetic nephropathy.​
ADA 2015 Standards: Microvascular Complications and Foot Care, and Nephropathy ​Article: American Diabetes Association, Diabetes Care

An article outlining the microvascular complications of nephropathy.
Screening for Microalbuminuria in Patients With Diabetes ​Tool: National Kidney Foundation

A quick pocket tool to help health care professionals assess and treat albuminuria in people with diabetes and other high-risk patients. Designed for rapid, convenient, point-of-care intervention whenever and wherever you need it. Content is adapted from KDOQI evidence-based clinical practice guidelines and recommendations from the National Kidney Foundation.
​Screening for Microalbuminuria in Patients with Diabetes (PDF, 1.4 MB) Tool: National Kidney Foundation

This reference card presents an albuminuria evaluation algorithm and key information for screening and diagnosis of diabetic kidney disease. Includes charts and data tables. Based on the KDOQI Clinical Practice Guidelines and Clinical Practice Recommendations for Diabetes and Chronic Kidney Disease.
​Improving Diabetes Care in Practice: Findings from the TRANSLATE trial ​Article: American Diabetes Association, Diabetes Care

The introduction of a multicomponent organizational intervention in the primary care setting (including implementation of an electronic diabetes registry, visit reminders, and patient-specific physician alerts) significantly increased the percentage of type 2 diabetic patients achieving recommended clinical outcomes, including increasing renal testing 28.5%.
​Nephrology Referral Form ​Tool: NKDEP (National Kidney Disease Education Program)

The Nephrology Referral Form is designed to help referring Primary Care Providers share important patient data with the consulting nephrologist.
 

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