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In addition, we examine the care of advanced CKD patients solely managed by their PCPs (hereafter referred to as PCP managed) or co-managed with a nephrologist (hereafter referred to as co-managed) before and after routine eGFR reporting.
This fund takes the principle of investment diversification to its heart: It's co-managed (where the managers focus on their areas of expertise), as opposed to team-managed (where managers work together in one area).
While CKD care delivery to both PCP managed and co-managed patients remained suboptimal after eGFR reporting, co-managed patients were less likely to be on NSAIDs and more likely to have lab testing for complications of CKD.
When comparing PCP managed and co-managed patients, NSAID use was higher and phosphorus and PTH monitoring were lower in PCP managed patients regardless of eGFR reporting.
†pre-eGFR PCP managed versus pre-eGFR co-managed (P = 0.0004) **pre-eGFR PCP managed versus pre-eGFR co-managed (P < 0.0001) ‡post-eGFR PCP managed versus post-eGFR co-managed (P < 0.0001) eGFR estimated glomerular filtration rate, PCP primary care physician.
We sought to compare quality of care for co-managed patients to solo managed patients.
In underwriting, full credit for a deal goes to the "book" manager; credit is shared for co-managed offerings.
Pre-eGFR PCP managed patients were significantly older than pre-eGFR co-managed patients (Table 2).
We hypothesized that following routine eGFR implementation there would be modest improvements in care for PCP managed patients but no improvements in care for co-managed patients.
In addition, in the post-eGFR cohort, PCP managed patients were less likely to obtain Hgb testing than co-managed patients.
Dr. Marc Odrich, director of refractive surgery at Columbia and medical director of VISX, a laser manufacturer, tells of one co-managed Lasik patient referred to him.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com