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WHAT’S NEW IN CHRONIC KIDNEY DISEASE Thomas G. Ferguson, MD State Lead, CKD 4/30/13.

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Presentation on theme: "WHAT’S NEW IN CHRONIC KIDNEY DISEASE Thomas G. Ferguson, MD State Lead, CKD 4/30/13."— Presentation transcript:

1 WHAT’S NEW IN CHRONIC KIDNEY DISEASE Thomas G. Ferguson, MD State Lead, CKD 4/30/13

2 HOW DO PATIENTS BECOME INCLUDED IN THE REGISTRY? Lab with GFR ≤ 60 from any source Wait ≥ 90 days Repeat GFR GFR ≤ 60 included in the database

3 NEW GUIDELINES CHANGES IN THE CLASSIFICATION SYSTEM OLD CLASSIFICATION Stage 1 GFR ≥ 90 Stage 2 GFR Stage 3 GFR Stage 4 GFR Stage 5 GFR < 15 NEW CLASSIFICATION Stage 1 GFR ≥ 90 Stage 2 GFR 60 – 89 Stage 3a GFR 45 – 59 Stage 3b GFR 30 – 44 Stage 4 GFR 15 – 29 Stage 5 GFR < 15

4 NEW GUIDELINES CHANGES IN THE eGFR EQUATION OLD EQUATION MDRD EQUATION Unable to give a value for GFR > 60 NEW EQUATION EPI EQUATION Able to give values of GFR > 60 Needed for new classification system

5 NEW GUIDELINES URINE PROTEIN (ALBUMIN) / CREATININE New classification system recognizes risk with abnormal urine protein (albumin) / creatinine ratio—increased proteinuria Appropriate actions required for abnormal ratio

6 INSTITUTE FOR HEALTHCARE IMPROVEMENT Open School for Healthcare Providers 22 hour online course in Quality Safety Handoffs Management Certification

7 INSTITUTE FOR HEALTHCARE IMPROVEMENT Google IHI Click on Open School Click on log in Free to students, residents, and faculty With a sponsor (champion), can apply as an institution


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