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Workplace Outreach Program Improves Management of Chronic Kidney Disease
Olga A Iakoubova1, Carmen H Tong, Charles M Rowland
1From the Department of Quest Diagnostics, San Juan Capistrano, California (Dr Iakoubova, Ms Tong, Mr Rowland, Arellano, Dr Bare, Dr Fragala, and Dr Birse).
Objective:
Assess whether an employee outreach program improved management of chronic kidney disease (CKD).
Methods:
Participants with suspected CKD (eGFR <60 mL/min/1.73m 2 ) identified in employee health assessments in 2017 and 2018 were contacted by phone and offered physician consultation. Subsequent nephrologist visits at 11 months of follow up were compared between those who were (outreach group) and were not (control group) successfully contacted.
Results:
Most CKD risk factors at baseline were similar in outreach and control groups. At the end of the follow-up, outreach participants had more than 2-fold greater incidence of visiting a nephrologist compared with controls (HR = 2.3; 95% CI 1.2-4.2, P = 0.01), after adjusting for potential confounders. Conclusions: Employee outreach program increased utilization of nephrologist care.
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