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Table 3 Association of nephrology co-management with quality of care measures for CKD patients, stage 3 only

From: Nephrology co-management versus primary care solo management for early chronic kidney disease: a retrospective cross-sectional analysis

 

Unadjusted estimatesa

Adjusted estimatesb

Outcome

Nephrology co-management (n = 191)

Solo PCP management (n = 2363)

p value

Nephrology co-management

Solo PCP management

p value

Serum eGFRc

100 %

93 %

P < 0.0001

98 %

94 %

P < 0.0001

Urine protein

88 %

36 %

P < 0.0001

85 %

34 %

P < 0.0001

ACE/ARB prescription

84 %

65 %

P < 0.0001

79 %

69 %

P = 0.02

BP <140/90 mmHg

71 %

71 %

P = 0.93

71 %

72 %

P = 0.68

BP <130/80 mmHg

48 %

45 %

P = 0.36

46 %

45 %

P = 0.96

Serum LDL

83 %

77 %

P = 0.02

79 %

78 %

P = 0.74

Serum Hemoglobin or Hematocrit

96 %

79 %

P < 0.0001

96 %

83 %

P < 0.0001

Serum Calcium

99 %

91 %

P < 0.0001

99 %

93 %

P = 0.0002

Serum Phosphorus

81 %

18 %

P < 0.0001

76 %

17 %

P < 0.0001

 

Mean

Mean

 

Weighted estimate

Weighted estimate

 

Systolic, mmHg

132.8

132.5

P = 0.81

133.8

132.1

P = 0.21

Diastolic, mmHg

72.7

72.1

P = 0.57

71.9

72.1

P = 0.84

  1. aAll estimates account for clustering by PCP
  2. bPercentage and p value estimated by multivariate model accounting for clustering by PCP and adjusting for age, gender, race/ethnicity, eGFR, hypertension, diabetes, and number of PCP visits
  3. cLinear model due to 100 % rate in co-management group