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Description

  • key feature of discussions is the necessity to harmonise core offerings with rstp measures

  • most of rstp measures are covered on at least some level

  • some have very little coverage - CKD, AKI

  • RSTP have very well established numerators/denominators we should use these or when we deviate from them it should be a conscious decision.

Areas without large amounts of coverage:

Features we wish to include

features we wish to extend

  • longditudinal coverage

RSTP Measure

Type

Numerator

Denominator

UKRDC Denominator Interpretation

Current dashboard stat

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.

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 with a primary renal diagnosis (3-5). Does action code need to be included?

No coverage

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.

Total number of patients registered with a GP practice aged 18 and over

not sure how much we can do with this one? maybe patients with low egfr and missing PRD/Transplant/Dialysis…some other area of the dataset…

No coverage

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

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.

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

No coverage

Proportion of Dialysis Patients on Home therapies

Dialysis

 Prevalent home therapies (home HD and PD) patients.

Proportion of Dialysis Patients on PD

Dialysis

 Prevalent PD patients.

Proportion of Dialysis patients presenting late

Dialysis

 Incident patients referred < 90 days before starting KRT.

Definitive Vascular Access

Dialysis

Patients starting on AVF/AVG/PD

Incident dialysis adult patients starting KRT for the first time

Total Admitted Days for Dialysis Patients

Dialysis

Total admitted days (at any time)

Incident haemodialysis and peritoneal dialysis patients

Median time from dialysis start to transplant, excluding pre-emptive transplants

Transplant

Total days from start of dialysis to transplant

Median time from dialysis start to transplant, including pre-emptive transplants

Transplant

Total days from start of dialysis to transplant

Proportion RRT patients transplanted or listed

Transplant

Transplant rate per 100 RRT patients

Transplant

Target User(s)

Components/Dependencies

Libraries

(delete where appropriate)

  • dashboard stats

  • ukrdc fastapi

  • ukrdc UI

UKRDC stats dependencies

  • abc base class

Steps

  • Create xy model
  • Write core query to …
  • Write abc function to filter patient cohort …

Reviewers

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