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dc.contributor.authorToth-Manikowski, Stephanie M
dc.contributor.authorHsu, Jesse Y
dc.contributor.authorFischer, Michael J
dc.contributor.authorCohen, Jordana B
dc.contributor.authorLora, Claudia M
dc.contributor.authorTan, Thida C
dc.contributor.authorHe, Jiang
dc.contributor.authorGreer, Raquel C
dc.contributor.authorWeir, Matthew R
dc.contributor.authorZhang, Xiaoming
dc.contributor.authorSchrauben, Sarah J
dc.contributor.authorSaunders, Milda R
dc.contributor.authorRicardo, Ana C
dc.contributor.authorLash, James P
dc.date.accessioned2022-04-11T15:05:52Z
dc.date.available2022-04-11T15:05:52Z
dc.date.issued2022-02-01
dc.identifier.urihttp://hdl.handle.net/10713/18525
dc.description.abstractAmong 3,140 participants, mean age was 65 years, 44% female, 45% non-Hispanic White, 43% non-Hispanic Black, and 9% Hispanic, mean estimated glomerular filtration rate 50 mL/min/1.73 m2. Approximately 90% identified clinic as usual source of care, 9% ED/urgent care, and 1% other. ED/urgent care reflected a more vulnerable population given lower baseline socioeconomic status, higher comorbid condition burden, and poorer blood pressure and glycemic control. Over a median follow-up time of 3.6 years, there were 181 incident end-stage kidney disease events, 264 atherosclerotic events, 263 incident heart failure events, 288 deaths, and 7,957 hospitalizations. Compared to clinic as usual source of care, ED/urgent care was associated with higher risk for all-cause death (HR, 1.53; 95% CI, 1.05-2.23) and hospitalizations (RR, 1.41; 95% CI, 1.32-1.51).en_US
dc.description.urihttps://doi.org/10.1016/j.xkme.2022.100424en_US
dc.language.isoenen_US
dc.relation.ispartofKidney Medicineen_US
dc.rights© 2022 The Authors.en_US
dc.subjectusual source of careen_US
dc.subject.meshHealth Services Accessibilityen_US
dc.subject.meshEmergency Service, Hospitalen_US
dc.subject.meshRenal Insufficiency, Chronicen_US
dc.titleEmergency Department/Urgent Care as Usual Source of Care and Clinical Outcomes in CKD: Findings From the Chronic Renal Insufficiency Cohort Studyen_US
dc.typeArticleen_US
dc.identifier.doi10.1016/j.xkme.2022.100424
dc.identifier.pmid35372819
dc.source.journaltitleKidney medicine
dc.source.volume4
dc.source.issue4
dc.source.beginpage100424
dc.source.endpage
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States


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