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Table 2 Comparison of Use of eGFR Value Prior to, and After, Automatic Reporting (n = 19)

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