From the Department of Quest Diagnostics, San Juan Capistrano, California (Dr Iakoubova, Ms Tong, Mr Rowland, Arellano, Dr Bare, Dr Fragala, and Dr Birse).
J Occup Environ Med. 2022 Jun 1;64(6):482-487. doi: 10.1097/JOM.0000000000002475. Epub 2021 Dec 30.
Assess whether an employee outreach program improved management of chronic kidney disease (CKD).
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.
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.
评估员工外展计划是否改善了慢性肾脏病（CKD）的管理。
通过电话联系 2017 年和 2018 年员工健康评估中发现的疑似 CKD（eGFR <60 mL/min/1.73m 2 ）的参与者，并为其提供医生咨询。在随访 11 个月时比较了那些成功联系（外展组）和未成功联系（对照组）的患者后续看肾病专家的就诊情况。
在外展组和对照组中，基线时的大多数 CKD 风险因素相似。在随访结束时，调整潜在混杂因素后，与对照组相比，外展组参与者看肾病专家的就诊率增加了两倍多（HR = 2.3；95% CI 1.2-4.2，P = 0.01）。
员工外展计划增加了肾病专家的就诊利用率。
