Research Article
Variation in Assessing Renal Allograft Rejection: A National Assessment of Nephrology Practice
Table 2
Summary of CPV results (N=525).
| Variable (n) | Results |
| CPV Domain | | Overall (525) | 46.7±16.0 |
| Physical (525) | 77.7±22.4 | Workup (525) | 47.8±33.3 | Diagnosis-Treatment (525) | 34.2±24.8 |
| Low-value tests, # (525) | 0.9±1.4 | Low-value tests, $ (525) | $229±$567 |
| Specific Items | | Biopsy of renal allograft | | Active rejection, clinical (173) | 47.4% | Active rejection, subclinical (173) | 10.9% | Other, non-rejection (173) | 36.0% | Primary diagnosis | | Active rejection, clinical (173) | 57.7% | Active rejection, subclinical (173) | 10.3% | Other, non-rejection (173) | 79.4% | Secondary diagnosis | 46.2% |
| IV steroids for active rejection (350) | 26.3% | Continue mycophenolate mofetil dose (520) | 61.5% | Tacrolimus Dose in CNI Toxicity | | Continue current dose (297) | 42.4% | Decrease dose (109) | 78.9% | Increase dose (119) | 21.9% | Follow-up visit (525) | 24.2% | Continue medications (525) | 53.7% | Referral to vascular surgeon when appropriate (66) | 72.7% |
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