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Table 4 Association of nephrology co-management with quality of care measures for CKD patients, stage 4 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 = 94)

Solo PCP management (n = 95)

p value

Nephrology co-management

Solo PCP management

p value

Serum eGFRc

100 %

97 %

P = 0.08

100 %

97 %

P = 0.09

Urine protein

86 %

60 %

P < 0.0001

88 %

56 %

P < 0.0001

ACE/ARB prescription

77 %

72 %

P = 0.41

80 %

73 %

P = 0.26

BP <140/90 mmHg

64 %

69 %

P = 0.51

64 %

70 %

P = 0.52

BP <130/80 mmHg

46 %

47 %

P = 0.97

48 %

44 %

p = 0.59

Serum LDL

76 %

73 %

P = 0.59

77 %

80 %

P = 0.69

Serum Hemoglobin or Hematocritc

99 %

91 %

P = 0.01

99 %

91 %

P = 0.04

Serum Calciumc

100 %

96 %

P = 0.04

100 %

96 %

P = 0.05

Serum Phosphorus

90 %

49 %

P < 0.0001

91 %

50 %

P < 0.0001

Serum PTH

92 %

32 %

P < 0.0001

92 %

33 %

P < 0.0001

 

Mean

Mean

 

Weighted estimate

Weighted estimate

 

Systolic, mmHg

132.3

131.7

P = 0.85

130.6

130.0

p = 0.84

Diastolic, mmHg

67.7

71.2

P = 0.06

64.6

69.9

P = 0.0007

  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. Race/ethnicity categories were collapsed to White, Black, Other due to inability to perform logistic regression with small cells
  3. cLinear model due to 100 % rate in co-management group