2018
DOI: 10.1093/ckj/sfy105
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Impact of a phone app on nephrology referral

Abstract: Background Various factors can lead to inadequate nephrology referral decisions being taken by clinicians, but a major cause is unawareness of guidelines, recommendations and indications, or of appropriate timing. Today, tools such as smartphone applications (Apps) can make this knowledge more accessible to non-nephrologist clinicians. Our study aim is to determine the effectiveness of a purpose-built app in this respect. Methods In a retrospective study, nephrology ref… Show more

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Cited by 6 publications
(7 citation statements)
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“…The app collects data on age, gender, serum creatinine level, UACR and race, as well as ‘other reasons’ for referral, featured in the current referral criteria (Table 1). Based on these data, the software indicates whether patients meet SENEFRO and KDIGO criteria for nephrology referral, as recently reported in the Clinical Kidney Journal ( CKJ ) [12]. In this CKJ report, NefroConsultor improved the rate of adequate referrals to nephrology by 28%.…”
Section: What Is Nefroconsultor?mentioning
confidence: 80%
“…The app collects data on age, gender, serum creatinine level, UACR and race, as well as ‘other reasons’ for referral, featured in the current referral criteria (Table 1). Based on these data, the software indicates whether patients meet SENEFRO and KDIGO criteria for nephrology referral, as recently reported in the Clinical Kidney Journal ( CKJ ) [12]. In this CKJ report, NefroConsultor improved the rate of adequate referrals to nephrology by 28%.…”
Section: What Is Nefroconsultor?mentioning
confidence: 80%
“…The ability to adapt to telework and telemedicine in Nephrology opens a way to organize in a future virtual medicine in Nephrology, with cameras, webcam, apps and programs that facilitate a medical visit adapted to our patients with kidney disease. 8 , 9 , 10 The COVID-19 pandemic is probably the beginning of a paradigm shift in this regard. For many frail patients and their families, the trip to the hospital requires considerable effort and shows their clear preference for telemedicine even after the pandemic.…”
Section: Discussionmentioning
confidence: 99%
“…Despite these limitations (Table 2 ), the risk of kidney failure may be a useful adjunct tool to clinical assessment as part of referral decision-making and encourage more albuminuria (or proteinuria) testing by primary care physicians. The use of the KFRE may incentivize the user to introduce albuminuria levels, as with the implementation of smartphone apps [ 31 ]. Additional studies to examine the impact of these risk thresholds, either 3% or 5% over 5 years, on the number of generated nephrology referrals and comparisons between new 2021 NICE criteria for referral and previous guidelines are needed [ 21 ].…”
Section: Kfre For Referralmentioning
confidence: 99%
“…This can lead to delayed intervention for treating kidney disease or an untimely referral [ 34 ]. An illustration can be the low rates of albuminuria (or proteinuria) testing in patients with CKD [ 27 , 35 ] in primary care and at the time of referral [ 31 ] despite the consistent recommendations and the vital importance of albuminuria (proteinuria) for prognostication in CKD.…”
Section: Possible Areas To Revisit In Future Referral Criteriamentioning
confidence: 99%
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