Research article: Improving Detection and Management of Impaired Kidney Function in Primary Care via Diagnostic Management Team Approach
Daniel C. Dees, Sarah B. Siddiqui, Julie K. Soder, Cristy L. Landt, Eddie H. Salazar
Abstract
PURPOSE. Chronic kidney disease (CKD) is a growing public health challenge with substantial morbidity, mortality, and cost. Early detection is critical, yet abnormal kidney function results in primary care are often lacking timely follow-up.
MATERIALS AND METHODS. This study evaluated a Diagnostic Management Team (DMT) intervention in which a Doctor of Clinical Laboratory Science (DCLS) and an internal medicine physician provided patient-specific laboratory recommendations to primary care providers for abnormal glomerular filtration rate (GFR) results. A post-test control group design included 199 primary care patients without known CKD. Follow-up and laboratory utilization were assessed for four months post-intervention using chi-square analysis.
RESULTS. Compared to controls, DMT-guided patients showed significantly higher laboratory test utilization (p = 0.001), follow-up rates (p < 0.001), and adherence to kidney disease: Improving Global Outcomes (KDIGO) guidelines (p < 0.001).
DISCUSSION. A DCLS supported DMT improved recognition and management of early CKD indicators in primary care. Embedding laboratory professionals in multidisciplinary care teams may enhance early intervention, reduce progression to end-stage disease, and decrease healthcare costs.
Abbreviations: CKD = chronic kidney disease; DMT = diagnostic management team; GFR = glomerular filtration rate
Keywords: Chronic kidney disease, Doctor of Clinical Laboratory Science, diagnostic management team, glomerular filtration rate, laboratory test utilization
Int. J. Bio. Lab. Sci 2026(15)1:5-11 【PDF】
