| Referred (n = 423) | Not Referred (n = 257) | P value |
---|---|---|---|
Patient Characteristics | Â | Â | Â |
Older Age, (%) | 44.7 | 58.8 | < 0.001* |
Female gender, (%) | 50.4 | 49.2 | 0.81 |
Black race, (%) | 51.3 | 47.9 | 0.38 |
Presence of stage III CHF, (%) | 50.1 | 49.8 | 0.94 |
Ambulation with walker, (%) | 49.2 | 51.4 | 0.58 |
Presence of moderate dementia, (%) | 41.4 | 68.1 | 0.01* |
PCP Demographics | Â | Â | Â |
Older Age, mean (SD) | 50.3 (9.89) | 49.2 (9.26) | 0.14 |
Non-white race, (%) | 13.2 | 4.1 | < 0.001* |
Female gender, (%) | 27.9 | 13.2 | < 0.001* |
OKPRN, (%) | 75.4 | 84.4 | 0.01* |
Urban practice, (%) | 64.3 | 56.0 | 0.03* |
Foreign Medical School Graduate, (%) | 13.7 | 12.5 | 0.03* |
PCP Experience | Â | Â | Â |
Estimation of Remaining Life Expectancy, mean (SD) | 6.11 (3.53) | 5.38 (4.15) | 0.02* |
Report of knowledge of KDOQI guidelines, (%) | 75.7 | 77.11 | 0.67 |
Importance of Patient Age, (%) | 13.71 | 21.01 | 0.01* |
Importance of Patient Race, (%) | 4.73 | 1.56 | 0.03* |
Importance of Co-morbidities, (%) | 46.81 | 44.36 | 0.53 |
 | 28.13 | 31.52 | 0.35 |
Importance of Patient Cognitive Status, (%) | 26.00 | 44.36 | < 0.001* |
Importance of Severity of CKD, (%) | 76.60 | 57.59 | < 0.001* |
Estimated proportion of patients over age 65, mean (SD) | 0.27 (0.44) | 0.37 (0.48) | 0.01* |
More than 10 patients referred to nephrology in last 1 year, (%) | 52.01 | 32.73 | < 0.001* |
PCP Expectations | Â | Â | Â |
Expectation that nephrologist would evaluate etiology of CKD, (%) | 63.00 | 37.00 | 0.01* |
Expectation that nephrologist would manage blood pressure, (%) | 63.29 | 36.67 | 0.65 |
Expectation that nephrologist would treat anemia, (%) | 62.34 | 37.71 | 0.96 |
Expectation that nephrologist would discuss prognosis, (%) | 62.19 | 37.83 | 0.98 |
Expectation that nephrologist would discuss initiation of dialysis, (%) | 62.10 | 38.02 | 0.49 |
Expectation that nephrologist would discuss goals of care, (%) | 63.40 | 36.60 | 0.001* |
PCP Reaction to Uncertainty and Risk Aversion | Â | Â | Â |
Anxiety about uncertainty†, mean (SD) | 16.75 (4.20) | 16.11 (3.78) | 0.04* |
Concern about bad outcomes‡, mean (SD) | 8.84 (3.55) | 8.40 (3.66) | 0.12 |
Reluctance to disclose uncertainty to patients§, mean (SD) | 17.47 (3.99) | 17.85 (3.19) | 0.20 |
Reluctance to disclose uncertainty to other providers¢, mean (SD) | 4.54 (2.14) | 4.45 (1.57) | 0.54 |
Risk aversion, n (%) | 77.8 | 68.1 | 0.01* |