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Peer-Reviewed Publication
BMC Nephrol2022;23(1):331.October 12, 2022Journal Article

Improving chronic kidney disease detection and treatment in the United States: the chronic kidney disease cascade of care (C3) study protocol.

Julio A Lamprea-Montealegre1,2,3, Priya Joshi1,2,3, Abigail S Shapiro4,5, Erin Madden2,3, Krista Navarra2,3, O Alison Potok6,7, L Parker Gregg8,9, Tanya Podchiyska10, Amy Robinson11, Mary K Goldstein10,12, Carmen A Peralta1,2,3,13, Simerjot K Jassal6,7, Sankar D Navaneethan8,9, Dena E Rifkin6,7, Virginia Wang4,5, Michael G Shlipak1,2,3, Michelle M Estrella14,15,16
1University of California San Francisco, 4150 Clement St., Building 2, Room 145, San Francisco, CA, 94121, USA.
2Kidney Health Research Collaborative, Department of Medicine, University of California, San Francisco, CA, USA.
3San Francisco VA Health Care System, San Francisco, CA, USA.
4Duke University, Durham, NC, USA.
5Durham VA Health Care System, Durham, NC, USA.
6University of California San Diego, La Jolla, CA, USA.
7San Diego VA Health Care System, San Diego, CA, USA.
8Baylor College of Medicine, Michael E. DeBakey VA Medical Center, Houston, TX, USA.
9Veterans Affairs Health Services Research and Development Center for Innovations in Quality, Effectiveness, and Safety and Section of Nephrology, Michael E. DeBakey VA Medical Center, TX, Houston, USA.
10VA Palo Alto Health Care System, Palo Alto, CA, USA.
11VA Sierra Pacific Network (VISN 21), Pleasant Hill, CA, USA.
12Stanford University, Stanford, CA, USA.
13Cricket Health, Inc, San Francisco, CA, USA.
14University of California San Francisco, 4150 Clement St., Building 2, Room 145, San Francisco, CA, 94121, USA. michelle.estrella@ucsf.edu.
15Kidney Health Research Collaborative, Department of Medicine, University of California, San Francisco, CA, USA. michelle.estrella@ucsf.edu.
16San Francisco VA Health Care System, San Francisco, CA, USA. michelle.estrella@ucsf.edu.

Abstract

BACKGROUND: There are major gaps in the implementation of guideline-concordant care for persons with chronic kidney disease (CKD). The CKD Cascade of Care (C3) initiative seeks to improve CKD care by improving detection and treatment of CKD in primary care. METHODS: C3 is a multi-modal initiative deployed in three major academic medical centers within the Department of Veterans Affairs (VA) Healt…

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