Mild-to-Moderate Pediatric Chronic Kidney Disease, Stages 3 to 5

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Validation Method

Data Model

Phenotype Description

Phenotype for identifying a cohort of patients with mild-to-moderate chronic kidney disease for several analyses investigating the effects of factors such as etiology or blood pressure control on kidney function outcomes.

Funder(s)

Provenance

The following updates were made to the version of the SAS query used in the PRESERVE study: - Date criteria were adjusted; - Nephrology visit criteria were restricted to face-to-face encounters; - Implementation of the CKiD U25 eGFR equation (serum creatinine based) was refined to use continuous age (Pierce et al 2020, https://doi.org/10.1016/j.kint.2020.10.047).

Algothrithm Description

Implementation of the computational phenotype is provided as a SAS query package. Access the query package on GitHub here.

Phenotype Logic

Inclusion Criteria

  1. One or more visits with a nephrologist between January 2009 and December 2022.
  2. At least two estimated glomerular filtration rate (eGFR) measurements of at least 30 mL/min/1.73m2 and below 90 mL/min/1.73m2 separated by 90 days and without an intervening eGFR of 90 mL/min/1.73m2 or higher.
  3. Sex at birth recorded as female or male.

Exclusion Criteria

  1. Evidence for kidney transplant before cohort entrance date
  2. Evidence for chronic dialysis before cohort entrance date
  3. Age <1 and >=18 years on cohort entrance date.

Development Population




Vocabulary

Clinical Subjects Headings

Data Source

Related Concept Set

Height, Measurement
(2024-10-02) Children's Hospital of Philadelphia
These codes are used to represent height measurements in the PEDSnet CDM.
Nephrology, Provider
(2021-09-01) Children's Hospital of Philadelphia
Concept set intended to assess the frequency with which patients sought care with specialties involved in patient care for and related to nephrology.
Nephrology, Facility
(2022-11-01) Children's Hospital of Philadelphia
Concept set intended to identify nephrology visits.
Kidney Transplant
(2021-11-01) Children's Hospital of Philadelphia
Concept set intended to identify patients having undergone a kidney transplant procedure.
Chronic Kidney Dialysis
(2022-06-01) Children's Hospital of Philadelphia
Concept set intended to identify patients in the end-stage of renal disease through evidence of kidney dialysis procedure(s).

Related Person

Related Phenotype

Related Study

Preserving Kidney Function in Children with Chronic Kidney Disease (PRESERVE)
Children's Hospital of Philadelphia
Study intended to inform shared decision-making regarding blood pressure management for pediatric chronic kidney disease (CKD).

Related Publications

Creative Commons license

Except where otherwised noted, this item's license is described as a CC-BY Attribution 4.0 license.