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Large Disparities in Kidney Testing Based on Disease, Gender and State, Quest Diagnostics Health Trends(TM) Report Finds
Date:3/12/2008

test and microalbumin test results. Physicians use both tests to evaluate a patient's kidney function and diagnose kidney disease. The 6.2 million test results were comprised of 3.4 million calculated eGFR tests performed in October 2006 and 2.8 million microalbumin test results performed between November 2005 and October 2006. The analysis determined the percentage of patients with significant kidney function loss (eGFR below 60) who had a microalbumin test performed during the previous 12 months.

These patients were then categorized according to patient groups of diabetes or hypertension based on ICD-9 codes. In addition, for some of the patients who did not have an ICD-9 code for diabetes associated with their eGFR or microalbumin results, additional information was obtained if they had hemoglobin A1c (HbA1c) testing. (HbA1c testing is used by physicians to assess diabetes control.) This assessment allowed these patients to be included in the diabetes group. The diabetes and hypertension diagnostic groups were further analyzed by age group (18-70+), gender and geographic area (U.S. state). The calculated eGFR values were determined from the serum creatinine test results according to the Modification of Diet in Renal Disease (MDRD) study formula for patients ages 18 and older. Adjustments for ethnicity were not included in the eGFR calculations used in this study (although Quest Diagnostics provides eGFR results for African-Americans and non-African- Americans to physicians to help them more accurately assess the kidney function of their patients).

Quest Diagnostics Health Trends(TM)

Quest Diagnostics maintains the largest private clinical laboratory data warehouse in the United States. Growing by 9 million data points a day, the database provides laboratory information on the vast majority of conditions and diseases affecting Americans today. Quest Diagnostics provides these data to health plans to help manage the health of their members. Que
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SOURCE Quest Diagnostics Inc.
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