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Optimizing Referral Pathways for Patients With Hematuria and Moderate-Severe Proteinuria

NCT07431931

Not Yet RecruitingNA

Sponsor: Geisinger Clinic

Conditions: Referral and Consultation, Glomerulonephritis, Hematuria, Proteinuria, Kidney Disease

Interventions: Electronic Health Record alert

Countries: United States

The purpose of the study is to evaluate prospectively the impact of an electronic health record (EHR) alert on primary care providers' (PCP) referral to Nephrology of Geisinger patients with high risk signs (blood and protein in the urine) of glomerulonephritis. This will help quantify the relative effectiveness of EHR alerts on PCPs' referral patterns.

Eligibility overview

Sex: ALL

Age: 18 Years to —

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria

Inclusion Criteria:

* Adults aged ≥18 years
* Patients receiving care from any Geisinger primary care provider (record of an encounter with a Geisinger PCP within the last 2 years from date of survey implementation)
* Patients with high-risk glomerulonephritis features i.e. positive test results for hematuria (urine dipstick result with blood 1+ or greater) and proteinuria (2+ or 3+ protein on dipstick or ACR≥300 mg/g or PCR ≥500 mg/g) collected within 12 months of index date.

Exclusion Criteria:

* Patients with a nephrologist appointment in the last 12 months before the index date
* Patients with a prior appointment with a nephrologist within the last 2 years before the positive urinalysis test for hematuria (1+ or greater)
* Patients with a history of glomerulonephritis and/or kidney failure (dialysis or eGFR \< 15 mL/min/1.73m2, or kidney transplantation) at any time during the baseline
* Patients receiving palliative care at any time during the baseline

Locations (1)

Danville, Pennsylvania, United States