Facility-Level Variations in Kidney Disease Care among Veterans with Diabetes and CKD.
Sankar D Navaneethan, Julia M Akeroyd, David Ramsey, Sarah T Ahmed, Shiva Raj Mishra, Laura A Petersen, Paul Muntner, Christie Ballantyne, Wolfgang C Winkelmayer, Venkat Ramanathan, Salim S Virani
Clinical Journal of the American Society of Nephrology | Published : 2018
BACKGROUND AND OBJECTIVES: Facility-level variation has been reported among veterans receiving care for various diseases. We studied the frequency and facility-level variations of guideline-recommended practices in patients with diabetes and CKD. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: Patients with diabetes and concomitant CKD (eGFR 15-59 ml/min per 1.73 m2, measured twice, 90 days apart) receiving care in 130 facilities across the Veterans Affairs Health Care System were included (n=281,223). We studied the proportions of patients (facility-level) receiving recommended core measures and facility-level variations of these study outcomes using median rate ratios, adjusting for various..View full abstract