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 diagnosis46.2%

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%