From: Clinician’s use of automated reports of estimated glomerular filtration rate: A qualitative study
Use of eGFR Value Before Automatic Reporting | ||||
---|---|---|---|---|
Common Theme and Key Findings | PCP | Allied | Totals | Illustrative Quotes |
(n = 13) | (n = 6) | (n = 19) | ||
Provider Calculated eGFR Prior | I would sometimes calculate it [eGFR]to see, but it wasn’t common. And that was generally if their creatinine wasn’t normal, just so I’d have a better idea of how bad their GFR was. But I wouldn’t if they were older and they had a normal creatinine. – IM PCP | |||
· sometimes to occasionally | 6 | 0 | 6 | |
· rarely to never | 7 | 6 | 13 | No, I never calculated it [GFR]… I would just look at their creatinines and if they were elevated…. – FM NP |
Provider Primarily Utilized Creatinine | ||||
· yes | 13 | 6 | 19 | … all I ever did [prior] was keep track of patients’ creatinines. – FM PCP |
Use of eGFR Value After Automatic Reporting | ||||
Common Theme and Key Findings | PCP | Allied | Totals | Illustrative Quotes |
(n = 13) | (n = 6) | (n = 19) | ||
Changed Overall Approach to CKD Management | There’s a number of folks [with Stage] 2 CKD …, I feel like it helps me manage them a lot better. –FM NP | |||
· yes | 8 | 4 | 12 | Definitely it has shifted my clinical practice…I think I run less and less into trouble ordering certain medications. – IM PCP |
· no / not much | 5 | 2 | 7 | It hasn’t necessarily changed my approach… It may have just labeled them as having now another problem. – IM PCP |
Utilization of eGFR & Creatinine Values in Decision-making | ||||
· uses both | 11 | 4 | 15 | Now I look at the trends in both creatinine and their GFR. And I do update in the patient’s problem list… - IM PCP |
· uses eGFR more often | 2 | 1 | 3 | I do look at the trend of GFR, and that helps me, first of all, in updating the diagnosis or putting the diagnosis in the problem list… It’s very helpful. So, yeah, I do look [eGFR] up a lot. – IM PCP |
· uses creatinine more often | 0 | 1 | 1 |