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      Sunday, April 14, 2024
      News & Perspective Drugs & Diseases CME & Education Video Decision Point
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      CME/CE Test

      Chronic Kidney Disease Co-Management: Removing Barriers, Reducing Inequities, and Improving Outcomes

      1. Which of the following represents an opportunity to optimize management of advancing chronic kidney disease (CKD)?
        Adding sodium bicarbonate supplementation for patients with a serum bicarbonate < 26 mEq/L
        Ensuring all patients living with CKD have an estimated glomerular filtration rate (eGFR) and urine albumin-creatinine ratio (uACR) completed at least once per year
        Screening for CKD-related mineral bone disorder (MBD) in patients no earlier than stage 4 CKD
        Avoiding peripherally inserted central catheter (PICC) lines in all patients living with CKD
      2. Which statement regarding ongoing inequities in kidney care is true?
        Using an eGFR equation with a race variable can delay nephrology referral or dialysis care for Black persons
        End-stage kidney disease (ESKD) incidence is similar for all patients with similar Social Deprivation Index (SDI) scores, regardless of race
        Black persons are less likely to receive a live donor kidney transplant due to a lower incidence of ESKD than White or Hispanic persons
        Access to health care is the most important socioeconomic factor for optimal CKD care
      3. Which statement best describes how primary care and nephrology teams can address social determinants of health (SDoH) and impact kidney outcomes?
        Utilize only the medications available on a low-cost generic list for a local pharmacy when managing patients with CKD
        Provide food vouchers for an area food bank to all patients diagnosed with CKD
        Screen patients for SDoH and immediately forward the results to the social worker without first reviewing them with the patient
        Identify resources and contacts in your area that you can connect patients with based on their specific needs
      4. Which modification to the care delivery process can help improve CKD population health outcomes?
        Assume all monitoring related to kidney disease will be done by the nephrology team
        Refer all patients with a confirmed uACR level > 30 to nephrology regardless of CKD stage
        Articulate expectations regarding the roles of each team caring for the patient
        Utilize the blood pressure targets provided by NCQA/HEDIS as a treatment goal for all patients
       
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