Managed Healthcare Executive April 11, 2025
Don Sapatkin

University of Pittsburgh Medical School researchers walk us through multiple approaches they’ve tried in the past, are currently using or plan to use in the future, as well as the significant challenges ahead.

Gaps between medical guidelines for managing chronic kidney disease (CKD) and how it is managed in practice have persisted for a decade, from poor patient education and awareness to inadequate diagnostic evaluation and delayed nephrology referral by primary care physicians, who manage most patients, particularly in the early stages. The result is additional disease progression, hospitalizations and deaths.

An estimated 15% of American adults (33.5 million people) have CKD, which consumes about $137 billion in Medicare dollars, a third of which iss spent on the 5% of...

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