Description
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This will include both peer group and longitudinal comparisons. The integration with the current UI layout will be planned at a later date. For example there could be an audit tab with a list of audit measures which are displayed in a similar way to this:
https://public.tableau.com/app/profile/ukkidney/viz/KRTauditstandards/FunnelPlot?:render=false
and actually the metrics presented here are probably worth including at some point.
RSTP Measure | Type | Numerator | UKRDC Numerator Interpretation | Denominator | UKRDC Denominator Interpretation | Current Dashboard Stats Calculator | Comments |
|---|---|---|---|---|---|---|---|
Adult CKD 1 low eGFR | CKD | Of the denominator those who have received a kidney function monitoring test for eGFR in the previous 12 months.Should we use the creatinine results? or specifically eGFR | Of denominator patients with a eGFR recorded in the result items within the last 12 months. | Patients aged 18 and over, with GP recorded CKD categories G3a to G5 (previously stage 3 to 5) and no subsequent CKD resolved code. | Living patients over a specified age 18 with a primary renal diagnosis (3G3a-5G5). Does action code need to be included? I think patients with a KRT treatment should be excluded from this cohort. | No coverage - to be included in CKD calculator | UKRDC result items table/dataset contains creatinine (QBLA1 ) as well as egfr results (QBLAP, QBLAR). Should we use creatinine in the numerator? Maybe it doesn’t matter because a lab order will contain all of the above. |
Adult CKD 1 low eGFR | CKD | Patients aged 18 and over with two eGFRs <60ml/min/1.73m2 more than 3 months apart, but with no record of CKD categories G3a to G5 diagnosis in the GP record. | Of denominator patients with two eGFRs <60ml/min/1.73m2 more than 3 months apart | Total number of patients registered with a GP practice aged 18 and over | I think maybe we should do a process of elimination to identify the cohort. i.e patients who are not receiving RRT or transplantUKRDC cohort as defined here https://renalregistry.atlassian.net/l/cp/PzKHxCsx but without counting patients without KRT treatments as recorded by UKRDC treatment table. Patients with a CKD diagnosis (PRD G3a to G5) should also be excluded. | No coverage - to be included in CKD calculatorThis metric could potentially be interpreted on a sending facility basis or be broken down by gpsurgeries within | |
Adult CKD Prevalence | CKD | Patients with a GP recorded diagnosis of Chronic Kidney Disease G3a to G5 (previously stages 3-5) who had no record of resolution | Total number of patients registered with a GP practice aged 18 and over | No coverage - to be included in CKD calculatorMaybe this could become something like fraction of patients with previous CKD diagnosis not appearing on KRT (and possible conservative care) | |||
Adult CKD with hypertension and proteinurea medicated | CKD | Of the denominator those who have received a kidney function monitoring test for eGFR in the previous 12 months. | Of denominator patients with a eGFR recorded in the result items within the last 12 months. | Total number of patients aged 18 years and above with GP recorded CKD categories G3a to G5 (previously stage 3 to 5), and GP recorded hypertension and proteinuria/albuminuria (as defined in the NDA proteinuria code set). NICE guidance suggests that a conf | Living patients in ukrdc over the age of 18 with a PRD of 18 with a primary renal diagnosis (G3a-G5) and hypertension. I think patients with a KRT treatment should be excluded from this cohort. | No coverage- to be included in CKD calculator | |
Proportion of Dialysis Patients on Home therapies | Dialysis | Prevalent home therapies (home HD and PD) patients. | prevalent adult dialysis patients | RRT Calculator | |||
Proportion of Dialysis Patients on PD | Dialysis | Prevalent PD patients. | prevalent adult dialysis patients | RRT Calculator | |||
Proportion of Dialysis patients presenting late | Dialysis | Incident patients referred < 90 days before starting renal replacement therapy | Incident patients referred < 90 days before starting KRT. | RRT Calculator | |||
Definitive Vascular Access | Dialysis | Patients starting on AVF/AVG/PD | Incident dialysis adult patients starting KRT for the first time | RRT Calculator | |||
Total Admitted Days for Dialysis Patients | Dialysis | Total admitted days (at any time) | Incident haemodialysis and peritoneal dialysis patients | RRT Calculator | |||
Median time from dialysis start to transplant, excluding pre-emptive transplants | Transplant | Median time from dialysis start to transplant excluding pre emptive transplants | Total days from start of dialysis to transplant excluding pre emptive | RRT Calculator | |||
Median time from dialysis start to transplant, including pre-emptive transplants | Transplant | Median time from dialysis start to transplant excluding pre emptive transplants | Total days from start of dialysis to transplant | RRT Calculator | |||
Proportion RRT patients transplanted or listed | Transplant | RRT Calculator | |||||
Transplant rate per 100 RRT patients | Transplant | RRT Calculator |
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