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CDA 06-018 – HSR&D Study

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CDA 06-018
Role of Kidney Disease in an Elderly High-risk Population
Michael Fischer MD MSPH
Jesse Brown VA Medical Center, Chicago, IL
Chicago, IL
Funding Period: October 2007 - September 2012

BACKGROUND/RATIONALE:
CKD is a highly prevalent, complex, and debilitating chronic illness. Elderly Veterans The elderly are at especially high risk for CKD and its complications. However, little is known about the quality of CKD care within VA or the effect of CKD on utilization and outcomes.

OBJECTIVE(S):
1. To determine and to compare healthcare utilization and health outcomes among elderly Veterans with CKD and without CKD. 2. To assess adherence of three important CKD consensus practice guideline (CPG) treatments (optimal blood pressure control, appropriate glycemic control, use of ACE-I/ARB) among elderly Veterans with CKD. 3. To examine the association and variability between healthcare utilization, health outcomes, and important CKD CPG treatments among elderly Veterans with CKD by sociodemographic and clinical factors.

METHODS:
Retrospective cohort analysis of elderly individuals with and without CKD who received healthcare at VA medical facilities throughout the United States from FY02 through FY05. Three CKD treatments will be measured: 1) blood pressure control, 2) glycemic control, 3) use of ACE-I/ARB. Multiple measures of healthcare use will be assessed including hospitalizations. The three health outcomes examined will consist of mortality, adverse cardiovascular events, and incident end-stage kidney disease (ESKD). In addition to the role of CKD, the role of predisposing (e.g., demographics), enabling (e.g., socioeconomic), and need (e.g., health status) factors toward the outcomes will be evaluated. To examine the association between healthcare utilization and guideline treatments as well as the influence of other key factors, multivariable regression analysis will be used.

FINDINGS/RESULTS:
Not yet available.

IMPACT:
In aggregate, these results stress that a large number of VA healthcare users are older patients with CKD, that their CKD care is often inconsistent with CPGs, and that current CPG hypertension treatment goals may not optimize health outcomes for elderly Veterans with CKD. The remaining objective of this study that is being completed will improve the understanding of the resource consequences of CKD and its treatments.

PUBLICATIONS:

Journal Articles

  1. Hynes DM, Fischer MJ, Schiffer LA, Gallardo R, Chukwudozie IB, Porter A, Berbaum M, Earheart J, Fitzgibbon ML. Evaluating a novel health system intervention for chronic kidney disease care using the RE-AIM framework: Insights after two years. Contemporary clinical trials. 2017 Jan 1; 52:20-26.
  2. Fischer MJ, Hsu JY, Lora CM, Ricardo AC, Anderson AH, Bazzano L, Cuevas MM, Hsu CY, Kusek JW, Renteria A, Ojo AO, Raj DS, Rosas SE, Pan Q, Yaffe K, Go AS, Lash JP, Chronic Renal Insufficiency Cohort (CRIC) Study Investigators. CKD Progression and Mortality among Hispanics and Non-Hispanics. Journal of the American Society of Nephrology : JASN. 2016 Nov 1; 27(11):3488-3497.
  3. Lederer S, Fischer MJ, Gordon HS, Wadhwa A, Popli S, Gordon EJ. A question prompt sheet for adult patients with chronic kidney disease. BMC nephrology. 2016 Oct 19; 17(1):155.
  4. Cukor D, Cohen LM, Cope EL, Ghahramani N, Hedayati SS, Hynes DM, Shah VO, Tentori F, Unruh M, Bobelu J, Cohen S, Dember LM, Faber T, Fischer MJ, Gallardo R, Germain MJ, Ghahate D, Grote N, Hartwell L, Heagerty P, Kimmel PL, Kutner N, Lawson S, Marr L, Nelson RG, Porter AC, Sandy P, Struminger BB, Subramanian L, Weisbord S, Young B, Mehrotra R. Patient and Other Stakeholder Engagement in Patient-Centered Outcomes Research Institute Funded Studies of Patients with Kidney Diseases. Clinical journal of the American Society of Nephrology : CJASN. 2016 Sep 7; 11(9):1703-12.
  5. Fischer MJ, Stroupe KT, Kaufman JS, O'Hare AM, Browning MM, Sohn MW, Huo Z, Hynes DM. Predialysis nephrology care and dialysis-related health outcomes among older adults initiating dialysis. BMC nephrology. 2016 Jul 29; 17(1):103.
  6. Porter AC, Lash JP, Xie D, Pan Q, DeLuca J, Kanthety R, Kusek JW, Lora CM, Nessel L, Ricardo AC, Wright Nunes J, Fischer MJ, CRIC Study Investigators. Predictors and Outcomes of Health-Related Quality of Life in Adults with CKD. Clinical journal of the American Society of Nephrology : CJASN. 2016 Jul 7; 11(7):1154-62.
  7. Drawz PE, Alper AB, Anderson AH, Brecklin CS, Charleston J, Chen J, Deo R, Fischer MJ, He J, Hsu CY, Huan Y, Keane MG, Kusek JW, Makos GK, Miller ER, Soliman EZ, Steigerwalt SP, Taliercio JJ, Townsend RR, Weir MR, Wright JT, Xie D, Rahman M, Chronic Renal Insufficiency Cohort Study Investigators. Masked Hypertension and Elevated Nighttime Blood Pressure in CKD: Prevalence and Association with Target Organ Damage. Clinical journal of the American Society of Nephrology : CJASN. 2016 Apr 7; 11(4):642-52.
  8. Ricardo AC, Anderson CA, Yang W, Zhang X, Fischer MJ, Dember LM, Fink JC, Frydrych A, Jensvold NG, Lustigova E, Nessel LC, Porter AC, Rahman M, Wright Nunes JA, Daviglus ML, Lash JP, CRIC Study Investigators. Healthy lifestyle and risk of kidney disease progression, atherosclerotic events, and death in CKD: findings from the Chronic Renal Insufficiency Cohort (CRIC) Study. American journal of kidney diseases : the official journal of the National Kidney Foundation. 2015 Mar 1; 65(3):412-24.
  9. Liu KD, Yang W, Go AS, Anderson AH, Feldman HI, Fischer MJ, He J, Kallem RR, Kusek JW, Master SR, Miller ER, Rosas SE, Steigerwalt S, Tao K, Weir MR, Hsu CY, CRIC Study Investigators. Urine neutrophil gelatinase-associated lipocalin and risk of cardiovascular disease and death in CKD: results from the Chronic Renal Insufficiency Cohort (CRIC) Study. American journal of kidney diseases : the official journal of the National Kidney Foundation. 2015 Feb 1; 65(2):267-74.
  10. Mehta NN, Matthews GJ, Krishnamoorthy P, Shah R, McLaughlin C, Patel P, Budoff M, Chen J, Wolman M, Go A, He J, Kanetsky PA, Master SR, Rader DJ, Raj D, Gadegbeku CA, Shah R, Schreiber M, Fischer MJ, Townsend RR, Kusek J, Feldman HI, Foulkes AS, Reilly MP, Chronic Renal Insufficiency Cohort (CRIC) Study Investigators. Higher plasma CXCL12 levels predict incident myocardial infarction and death in chronic kidney disease: findings from the Chronic Renal Insufficiency Cohort study. European heart journal. 2014 Aug 14; 35(31):2115-22.
  11. Wing MR, Yang W, Teal V, Navaneethan S, Tao K, Ojo A, Guzman NN, Reilly M, Wolman M, Rosas SE, Cuevas M, Fischer M, Lustigova E, Master SR, Xie D, Appleby D, Joffe M, Kusek J, Feldman HI, Raj DS, Chronic Renal Insufficiency Cohort (CRIC) Study. Race modifies the association between adiposity and inflammation in patients with chronic kidney disease: findings from the chronic renal insufficiency cohort study. Obesity (Silver Spring). 2014 May 1; 22(5):1359-66.
  12. Ricardo AC, Yang W, Lora CM, Gordon EJ, Diamantidis CJ, Ford V, Kusek JW, Lopez A, Lustigova E, Nessel L, Rosas SE, Steigerwalt S, Theurer J, Zhang X, Fischer MJ, Lash JP, CRIC Investigators. Limited health literacy is associated with low glomerular filtration in the Chronic Renal Insufficiency Cohort (CRIC) study. Clinical nephrology. 2014 Jan 1; 81(1):30-7.
  13. Ferguson JF, Matthews GJ, Townsend RR, Raj DS, Kanetsky PA, Budoff M, Fischer MJ, Rosas SE, Kanthety R, Rahman M, Master SR, Qasim A, Li M, Mehta NN, Shen H, Mitchell BD, O'Connell JR, Shuldiner AR, Ho WK, Young R, Rasheed A, Danesh J, He J, Kusek JW, Ojo AO, Flack J, Go AS, Gadegbeku CA, Wright JT, Saleheen D, Feldman HI, Rader DJ, Foulkes AS, Reilly MP, CRIC Study Principal Investigators. Candidate gene association study of coronary artery calcification in chronic kidney disease: findings from the CRIC study (Chronic Renal Insufficiency Cohort). Journal of the American College of Cardiology. 2013 Aug 27; 62(9):789-98.
  14. Fischer MJ, Ho PM, McDermott K, Lowy E, Parikh CR. Chronic kidney disease is associated with adverse outcomes among elderly patients taking clopidogrel after hospitalization for acute coronary syndrome. BMC nephrology. 2013 May 20; 14(1):107.
  15. Fischer MJ, Porter AC, Lash JP. Treatment of depression and poor mental health among patients receiving maintenance dialysis: are there options other than a pill or a couch? American journal of kidney diseases : the official journal of the National Kidney Foundation. 2013 May 1; 61(5):694-7.
  16. Mishra RK, Li Y, DeFilippi C, Fischer MJ, Yang W, Keane M, Chen J, He J, Kallem R, Horwitz EJ, Rafey M, Raj DS, Go AS, Shlipak MG, CRIC Study Investigators. Association of cardiac troponin T with left ventricular structure and function in CKD. American journal of kidney diseases : the official journal of the National Kidney Foundation. 2013 May 1; 61(5):701-9.
  17. Gordon EJ, Fink JC, Fischer MJ. Telenephrology: a novel approach to improve coordinated and collaborative care for chronic kidney disease. Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association. 2013 Apr 1; 28(4):972-81.
  18. Ricardo AC, Madero M, Yang W, Anderson C, Menezes M, Fischer MJ, Turyk M, Daviglus ML, Lash JP. Adherence to a healthy lifestyle and all-cause mortality in CKD. Clinical journal of the American Society of Nephrology : CJASN. 2013 Apr 1; 8(4):602-9.
  19. Margolis DJ, Gupta J, Thom SR, Townsend RR, Kanetsky PA, Hoffstad O, Papdopoulos M, Fischer M, Schelling JR, Mitra N. Diabetes, lower extremity amputation, loss of protective sensation, and neuronal nitric oxide synthase associated protein in the chronic renal insufficiency cohort study. Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society. 2013 Jan 1; 21(1):17-24.
  20. Akkina SK, Ricardo AC, Patel A, Das A, Bazzano LA, Brecklin C, Fischer MJ, Lash JP. Illicit drug use, hypertension, and chronic kidney disease in the US adult population. Translational research : the journal of laboratory and clinical medicine. 2012 Dec 1; 160(6):391-8.
  21. Lora CM, Ricardo AC, Brecklin CS, Fischer MJ, Rosman RT, Carmona E, Lopez A, Balaram M, Nessel L, Tao KK, Xie D, Kusek JW, Go AS, Lash JP. Recruitment of Hispanics into an observational study of chronic kidney disease: the Hispanic Chronic Renal Insufficiency Cohort Study experience. Contemporary clinical trials. 2012 Nov 1; 33(6):1238-44.
  22. Fischer MJ, Xie D, Jordan N, Kop WJ, Krousel-Wood M, Kurella Tamura M, Kusek JW, Ford V, Rosen LK, Strauss L, Teal VL, Yaffe K, Powe NR, Lash JP, CRIC Study Group Investigators. Factors associated with depressive symptoms and use of antidepressant medications among participants in the Chronic Renal Insufficiency Cohort (CRIC) and Hispanic-CRIC Studies. American journal of kidney diseases : the official journal of the National Kidney Foundation. 2012 Jul 1; 60(1):27-38.
  23. Layden JE, Cotler SJ, Grim SA, Fischer MJ, Lucey MR, Clark NM. Impact of donor and recipient race on survival after hepatitis C-related liver transplantation. Transplantation. 2012 Feb 27; 93(4):444-9.
  24. Hynes DM, Stroupe KT, Fischer MJ, Reda DJ, Manning W, Browning MM, Huo Z, Saban K, Kaufman JS, for ESRD Cost Study Group. Comparing VA and private sector healthcare costs for end-stage renal disease. Medical care. 2012 Feb 1; 50(2):161-70.
  25. Porter A, Fischer MJ, Brooks D, Bruce M, Charleston J, Cleveland WH, Dowie D, Faulkner M, Gassman J, Greene T, Hiremath L, Kendrick C, Kusek JW, Thornley-Brown D, Wang X, Norris K, Unruh M, Lash J. Quality of life and psychosocial factors in African Americans with hypertensive chronic kidney disease. Translational research : the journal of laboratory and clinical medicine. 2012 Jan 1; 159(1):4-11.
  26. Fischer MJ, Kimmel PL, Greene T, Gassman JJ, Wang X, Brooks DH, Charleston J, Dowie D, Thornley-Brown D, Cooper LA, Bruce MA, Kusek JW, Norris KC, Lash JP, AASK Study Group. Elevated depressive affect is associated with adverse cardiovascular outcomes among African Americans with chronic kidney disease. Kidney international. 2011 Sep 1; 80(6):670-8.
  27. Ricardo AC, Lash JP, Fischer MJ, Lora CM, Budoff M, Keane MG, Kusek JW, Martinez M, Nessel L, Stamos T, Ojo A, Rahman M, Soliman EZ, Yang W, Feldman HI, Go AS, CRIC and HCRIC Investigators. Cardiovascular Disease Among Hispanics and Non-Hispanics in the Chronic Renal Insufficiency Cohort (CRIC) Study. Clinical journal of the American Society of Nephrology : CJASN. 2011 Sep 1; 6(9):2121-2131.
  28. Fischer MJ, Go AS, Lora CM, Ackerson L, Cohan J, Kusek JW, Mercado A, Ojo A, Ricardo AC, Rosen LK, Tao K, Xie D, Feldman HI, Lash JP, CRIC and H-CRIC Study Groups. CKD in Hispanics: Baseline characteristics from the CRIC (Chronic Renal Insufficiency Cohort) and Hispanic-CRIC Studies. American journal of kidney diseases : the official journal of the National Kidney Foundation. 2011 Aug 1; 58(2):214-27.
  29. Lora CM, Gordon EJ, Sharp LK, Fischer MJ, Gerber BS, Lash JP. Progression of CKD in Hispanics: potential roles of health literacy, acculturation, and social support. American journal of kidney diseases : the official journal of the National Kidney Foundation. 2011 Aug 1; 58(2):282-90.
  30. Stroupe KT, Fischer MJ, Kaufman JS, O'Hare AM, Sohn MW, Browning MM, Huo Z, Hynes DM. Predialysis nephrology care and costs in elderly patients initiating dialysis. Medical care. 2011 Mar 1; 49(3):248-56.
  31. Fischer MJ, Ahya SN, Gordon EJ. Interventions to reduce late referrals to nephrologists. American Journal of Nephrology. 2011 Jan 1; 33(1):60-9.
  32. Ricardo AC, Fischer MJ, Peck A, Turyk M, Lash JP. Depressive symptoms and chronic kidney disease: results from the National Health and Nutrition Examination Survey (NHANES) 2005-2006. International urology and nephrology. 2010 Dec 1; 42(4):1063-8.
  33. Fischer MJ, Stroupe KT, Hynes DM, Blemur P, Sohn MW, Browning MM, Huo Z, O'Hare AM, Kaufman JS. Validation of erythropoietin use data on Medicare's End-Stage Renal Disease Medical Evidence Report. Journal of rehabilitation research and development. 2010 Nov 9; 47(8):751-62.
  34. Fischer MJ, O'Hare AM. Epidemiology of hypertension in the elderly with chronic kidney disease. Advances in chronic kidney disease. 2010 Jul 1; 17(4):329-40.
  35. Fischer MJ, Kimmel PL, Greene T, Gassman JJ, Wang X, Brooks DH, Charleston J, Dowie D, Thornley-Brown D, Cooper LA, Bruce MA, Kusek JW, Norris KC, Lash JP, AASK study group. Sociodemographic factors contribute to the depressive affect among African Americans with chronic kidney disease. Kidney international. 2010 Jun 1; 77(11):1010-9.
  36. Fischer MJ, Stroupe KT, Kaufman JS, O'Hare AM, Browning MM, Huo Z, Hynes DM. Predialysis nephrology care among older veterans using Department of Veterans Affairs or Medicare-covered services. The American journal of managed care. 2010 Feb 1; 16(2):e57-66.
  37. Fischer MJ, Wyatt CM, Gordon K, Gibert CL, Brown ST, Rimland D, Rodriguez-Barradas MC, Justice AC, Parikh CR, VACS Project Team. Hepatitis C and the risk of kidney disease and mortality in veterans with HIV. Journal of acquired immune deficiency syndromes. 2010 Feb 1; 53(2):222-6.
  38. Fischer M. Hypertension treatment and management concerns in the elderly. Aging health. 2009 Oct 1; 5(5):683-699.
  39. Lash JP, Go AS, Appel LJ, He J, Ojo A, Rahman M, Townsend RR, Xie D, Cifelli D, Cohan J, Fink JC, Fischer MJ, Gadegbeku C, Hamm LL, Kusek JW, Landis JR, Narva A, Robinson N, Teal V, Feldman HI, Chronic Renal Insufficiency Cohort (CRIC) Study Group. Chronic Renal Insufficiency Cohort (CRIC) Study: baseline characteristics and associations with kidney function. Clinical Journal of the American Society of Nephrology. 2009 Aug 1; 4(8):1302-11.
Magazine/Popular Press Articles

  1. Fischer M, Sovern KM, Kourany WM. Quality and Safety Initiatives at the Veterans Health Administration. American Society of Nephrology Kidney News. 2014 Feb 1; 6(2):8-9.
Conference Presentations

  1. Fischer M, Bazzano L, Go A, Horwitz E, Lash J, Xie D, Yaffe K, Lamar M, Taliercio J, Kurella TM, Seliger S, Ricardo A, Ojo A, Lustigova E. Depressive Symptoms and Cognitive Impairment in Adults with Chronic Kidney Disease. Poster session presented at: American Society of Nephrology Annual Meeting; 2016 Nov 19; Chicago, IL.
  2. Senthilkumar A, Lederer (Batki) S, Fischer M, Gordon HS, Khan HT, Popli S, Wadhwa A, Gordon EJ. Development of a Question Prompt Sheet for Patients with Advanced Kidney Disease to Promote Shared Decision Making Regarding Dialysis and Transplantation. Poster session presented at: American Society of Nephrology Annual Meeting; 2016 Nov 17; Chicago, IL.
  3. Fischer M. Developing a Kidney Disease Research Agenda in VA. Paper presented at: National Institute of Diabetes and Digestive and Kidney Diseases Annual Meeting; 2015 Mar 6; Bethesda, MD.
  4. Fischer M. Looking into the Crystal Ball: Changes in Kidney Disease and the Nephrology Workforce of Tomorrow. Poster session presented at: American Society of Nephrology Annual Meeting; 2014 Nov 13; Philadelphia, PA.
  5. Batki B, Fischer M, Shirsalkar A, Arwindekar D, Popli S, Wadhwa A, Gordon EJ. The Relationship between Health Literacy, Dialysis Knowledge, and Medication Identification in Veterans on Chronic Hemodialysis. Paper presented at: National Kidney Foundation Spring Clinical Meetings; 2014 Apr 22; Las Vegas, NV.
  6. Fischer M, Lederer (Batki) S, Shirsalkar A, Arwindekar D, Wadhwa A, Popli S, Gordon EJ. Relationship Between Knowledge, Attitudes, Behavior, and Interdialytic Weight Gain in Veterans on Chronic Hemodialysis. Poster session presented at: National Kidney Foundation Spring Clinical Meetings; 2014 Apr 22; Las Vegas, NV.
  7. Batki S, Gordon EJ, Fischer M, Arwindekar D, Popli S, Wadhwa A. The Relationship between Health Literacy, Dialysis Knowledge, and Medication Identification in Veterans on Chronic Hemodialysis. Paper presented at: Renal Network Nephrology Fellows Research Day; 2014 Feb 4; Chicago, IL.
  8. Shirsalkar A, Fischer M, Lederer (Batki) S, Wadhwa A, Popli S, Gordon EJ. Relationship Between Knowledge, Attitudes, Behavior, and Interdialytic Weight Gain in Veterans on Chronic Hemodialysis. Paper presented at: Renal Network Nephrology Fellows Research Day; 2014 Feb 4; Chicago, IL.
  9. Ricardo AC, Lash JP, Fink JC, Tao K, Alper AB, Chen J, Drawz PE, Hsu CY, Kusek JW, Ojo AO, Schreiber MJ, Roy J, Fischer M. Prior Contact with a Nephrologist and Outcomes in Adults with Chronic Kidney Disease: The Chronic Renal Insufficiency Cohort (CRIC) Study. Poster session presented at: American Society of Nephrology Annual Meeting; 2012 Nov 3; San Diego, CA.
  10. Fischer M, Ricardo AC, Jordan N, Diamantidis C, Xie D, Teal VL, Anderson AH, Bazzano L, Chen J, Kusek JW, Yaffe K, Powe NR, Lash JP. Depressive Symptoms and Health Outcomes among Patients with Chronic Kidney Disease: Findings from the Chronic Renal Insufficiency Cohort (CRIC) Study. Poster session presented at: American Society of Nephrology Annual Meeting; 2012 Nov 2; San Diego, CA.
  11. Fischer M, Ruggiero L, Lash J, Sisen N, Grubbs-O’Connor K, Lepain N, Zhao W. The NKFI KidneyMobile: A Mobile Resource for Community Based Screenings of Chronic Kidney Disease and Its Risk Factors. Poster session presented at: American Society of Nephrology Annual Meeting; 2012 Nov 2; San Diego, CA.
  12. Porter AC, Lash JP, Lora CM, Ricardo AC, Deluca JL, Kanthety R, Kusek JW, Nessel LC, Pan Q, Schreiber MJ, Wright JA, Xie D, Fischer M. Low Health Related Quality of Life Is Associated with Poor Health Outcomes among Participants in the Chronic Renal Insufficiency Cohort (CRIC) Study. Poster session presented at: American Society of Nephrology Annual Meeting; 2012 Nov 2; San Diego, CA.
  13. Ricardo AC, Anderson CA, Zhang X, Fischer M, Daviglus ML, Dember LM, Fink JC, Frydrych A, Jensvold NG, Lustigova E, Nessel LC, Porter AC, Rahman M, Wright JA, Yang W, Lash JP. Healthy Lifestyle and Risk of Kidney Disease Progression, Cardiovascular Events and Death in the Chronic Renal Insufficiency Cohort (CRIC) Study. Poster session presented at: American Society of Nephrology Annual Meeting; 2012 Nov 2; San Diego, CA.
  14. Jain D, Gordon EJ, Popli S, Bartle B, Fischer M. Health Literacy and Medication Reconciliation in Veterans on Chronic Hemodialysis. Poster session presented at: National Kidney Foundation Clinical Spring Meeting; 2012 May 10; National Harbor, MD.
  15. Ricardo AC, Yang W, Gordon EJ, Lora CM, Kusek JW, Lopez A, Nessel L, Rosas SE, Steigerwalt S, Zhang X, Fischer M, Lash JP. Functional health literacy in the chronic renal insufficiency cohort study. Poster session presented at: American Society of Nephrology Annual Meeting; 2011 Nov 12; Philadelphia, PA.
  16. Fischer M, Ricardo AC, Yang W, Lora CM, Anderson AH, Bazzano L, Cuevas MM, Hsu CY, Kusek JW, Lopez A, Ojo A, Raj DS, Rosas SE, Rosen L, Teal V, Yaffe K, Lash JP. Chronic Kidney Disease (CKD) progression and death among Hispanics and non-Hispanics in the Chronic Renal Insufficiency Cohort (CRIC) Study. Paper presented at: American Society of Nephrology Annual Meeting; 2011 Nov 11; Philadelphia, PA.
  17. Fischer M, Jordan N, Xie D, Ford V, Krousel-Wood M, Kurella TM, Kusek JW, Rosen L, Strauss LF, Teal VL, Yaffe K, Kop WJ, Powe NR, Lash JP. Depressive Symptoms, Cardiovascular Disease (CVD) Risk Factors, and Subclinical CVD among Individuals in the Chronic Renal Insufficiency Cohort (CRIC) Study. Poster session presented at: American Society of Nephrology Annual Meeting; 2011 Nov 10; Philadelphia, PA.
  18. Fischer M, Ho M, McDermott K, Lowy E, Parikh C. Clopidogrel Use and Mortality in Veterans with Chronic Kidney Disease and Acute Coronary. Poster session presented at: National Kidney Foundation Clinical Spring Meeting; 2011 Apr 27; Las Vegas, NV.
  19. Fischer M, Lora C, Carmona E, Lopez A, Ricardo A, Reyes A, Go AS, Lash JP. Recruitment of Hispanics with CKD: The Hispanic Chronic Renal Insufficiency Cohort Study Experience. Poster session presented at: National Kidney Foundation Clinical Spring Meeting; 2011 Apr 27; Las Vegas, NV.
  20. Fischer M, Patel A, Brooks D, Bruce M, Charleston J, Cleveland W, Dowie D, Faulkner M, Gassman J, Greene T, Hiremath L, Kendrick C, Kusek J, Thomley-Brown D, Wang X, Norris K, Lash J. Low Social Support is Associated with Increased All-cause Mortality in African Americans with Hypertensive CKD. Poster session presented at: National Kidney Foundation Clinical Spring Meeting; 2011 Apr 27; Las Vegas, NV.
  21. Fischer M, Weiss JW, Batten AJ, Bertenthal D, Do TP, Gupta I, Todd-Stenberg JA, O'Hare AM. The relationship between age, blood pressure, kidney function and mortality among a national cohort of Veterans. Poster session presented at: VA HSR&D Career Development Annual Meeting; 2011 Feb 16; National Harbor, MD.
  22. Krishnamoorthi VR, Stroupe KT, Smith BM, Evans (Mayfield) C, St. Andre JR, Ganesh SP, Huo Z, Li K, Fischer M. Chronic Kidney Disease in Veterans with Spinal Cord Injury. Paper presented at: VA HSR&D National Meeting; 2011 Feb 16; National Harbor, MD.
  23. Fischer M, Go A, Lora CM, Ackerson L, Cohan J, Kusek J, Mercado A, Ojo A, Ricardo A, Tao K, Xie D, Feldman H, Lash JP. Chronic Kidney Disease in Hispanics: Baseline Characteristics from the Chronic Renal Insufficiency Cohort (CRIC) and Hispanic-CRIC Studies. Paper presented at: Chronic Renal Insufficiency Annual Symposium; 2011 Feb 1; Baltimore, MD.
  24. Fischer M, Weiss JW, Batten AJ, Bertenthal D, Gupta I, Todd-Stenberg J, O'Hare AM. The relationship between age, blood pressure, kidney function and outcomes among a national cohort of Veterans. Poster session presented at: American Society of Nephrology Annual Meeting; 2010 Nov 19; Denver, CO.
  25. Porter A, Fischer M, Brooks D, Bruce M, Charleston J, Corbin T, Dowie D, Faulkner M, Gassman J, Greene T, Hiremath L, Kendrick C, Kusek J, Thornely-Brown D, Wang X, Norris K, Unruh M, Lash J. Health Related quality of life as a predictor of adverse outcomes in African Americans with chronic kidney disease. Poster session presented at: American Society of Nephrology Annual Meeting; 2010 Nov 19; Denver, CO.
  26. Fischer M. Prevention of Acute Kidney Injury in Hospitalized Patients: What to Give? What to Take Away? Paper presented at: American Society of Nephrology Annual Meeting; 2010 Nov 18; Denver, CO.
  27. Fischer M. The Hypertensive Patient. Paper presented at: American College of Physicians Illinois Chapter Meeting; 2010 Oct 29; Springfield, IL.
  28. Stroupe KT, Fischer M, Hynes DM, O'Hare AM, Browning M, Sohn M, Huo Z. Predialysis care across healthcare systems among patients with chronic kidney disease. Poster session presented at: AcademyHealth Annual Research Meeting; 2009 Jun 28; Chicago, IL.
  29. Fischer M. Depressive Symptoms among Individuals in the Chronic Renal Insufficiency Cohort Study. Paper presented at: Chronic Renal Insufficiency Annual Symposium; 2009 Jun 16; Philadelphia, PA.
  30. Fischer MJ, Wyatt CM, Gordon K, Gibert C, Brown ST, Rimland D, Rodriguez-Barradas M, Justice AC, Parikh R. Hepatitis C is Associated with a High Prevalence of Chronic Kidney Disease and Mortality among Veterans with HIV. Presented at: VA HSR&D National Meeting; 2009 Feb 12; Baltimore, MD.
  31. Stroupe KT, Fischer MJ, Hynes DM, O'Hare AM, Browning M, Sohn MW, Huo Z, Kauffman JS. Predialysis Nephrology Care among Veterans and Non-Veterans with Chronic Kidney Disease. Presented at: VA HSR&D National Meeting; 2009 Feb 12; Baltimore, MD.
  32. Fischer MJ, Wick G, Stroupe KT, Hynes DM, Browning M, Huo Z, Kaufman J. Chronic Kidney Disease Is Significantly Underrecognized Among VA Primary Care Users. Poster session presented at: National Kidney Foundation Clinical Spring Meeting; 2008 Apr 3; Dallas, TX.
  33. Fischer MJ, Stroupe KT, Kaufman J, O'Hare AM, Browning M, Huo Z, Hynes DM. Venue of Predialysis Nephrology Care and Dialysis-Related Health Outcomes. Paper presented at: VA HSR&D National Meeting; 2008 Feb 15; Baltimore, MD.
  34. Stroupe KT, Fischer MJ, Kaufman J, O'Hare AM, Bronwing M, Huo Z, Hynes DM. Pre-Dialysis Nephrology Care and Healthcare Costs and Outcomes after Dialysis Initiation in Veterans with Chronic Kidney Disease. Paper presented at: VA HSR&D National Meeting; 2008 Feb 14; Baltimore, MD.
  35. Fischer MJ, Stroupe KT, Hynes DM, Browning M, Huo Z, O'Hare A, Kaufman J. Validation of Predialysis Erythropoietin Administration on the End-Stage Renal Disease Medical Evidence Report. Poster session presented at: American Society of Nephrology Renal Week Annual Meeting; 2007 Nov 2; San Francisco, CA.


DRA: Aging, Older Veterans' Health and Care, Health Systems, Kidney Disorders
DRE: Diagnosis, Prognosis
Keywords: none
MeSH Terms: none

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