Person—end-stage renal disease status (diabetes complication), code N
Data Element Attributes
Identifying and definitional attributes | |
Metadata item type: | Data Element |
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Short name: | Renal disease—end-stage (diabetes complication) |
METEOR identifier: | 270373 |
Registration status: | Health, Standard 01/03/2005 |
Definition: | Whether an individual has end-stage renal disease as a complication of diabetes, and has required dialysis or has undergone a kidney transplant, as represented by a code. |
Data Element Concept: | Person—end-stage renal disease status |
Value Domain: | End-stage renal disease code N |
Data element attributes | |
Collection and usage attributes | |
Collection methods: | Ask the individual if he/she has required dialysis or has undergone a kidney (renal) transplant (due to diabetic nephropathy). Alternatively obtain the relevant information from appropriate documentation. |
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Source and reference attributes | |
Submitting organisation: | National Diabetes Data Working Group |
Origin: | National Diabetes Outcomes Quality Review Initiative (NDOQRIN) data dictionary. |
Relational attributes | |
Related metadata references: | Is re-engineered from Renal disease - end stage, diabetes complication, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (17.9 KB) No registration status |
Implementation in Data Set Specifications: | Diabetes (clinical) DSS Health, Superseded 21/09/2005 DSS specific information: To determine chronic renal impairment: - Glomerular filtration rate (GFR) In general, patients with GFR < 30 ml/min/1.73 m2 are at high risk of progressive deterioration in renal function and should be referred to a nephrology service for specialist management of renal failure. Patients with rapidly declining renal function or clinical features to suggest that residual renal function may decline rapidly (i.e. hypertensive, proteinuric (>1 g/24 hours), significant co-morbid illness) should be considered for referral to a nephrologist well before function declines to less than 30 ml/min. (Draft CARI Guidelines 2002. Australian Kidney Foundation). End-stage renal disease is a recognised complication of Type 1 and Type 2 diabetes mellitus. Diabetes is the commonest cause for renal dialysis in Australia. The term end-stage renal disease has become synonymous with the late stages of chronic renal failure. Diabetic nephropathy may be effectively prevented and treated by controlling glycemia and administering angiotensin-converting enzyme (ACE) inhibitors. J Am Soc Nephrol 2002 Jun; 13(6): 1615-1625]. Diabetes (clinical) NBPDS Health, Standard 21/09/2005 DSS specific information: To determine chronic renal impairment: - Glomerular filtration rate (GFR) In general, patients with GFR < 30 ml/min/1.73 m2 are at high risk of progressive deterioration in renal function and should be referred to a nephrology service for specialist management of renal failure. Patients with rapidly declining renal function or clinical features to suggest that residual renal function may decline rapidly (i.e. hypertensive, proteinuric (>1 g/24 hours), significant co-morbid illness) should be considered for referral to a nephrologist well before function declines to less than 30 ml/min. (Draft CARI Guidelines 2002. Australian Kidney Foundation). End-stage renal disease is a recognised complication of Type 1 and Type 2 diabetes mellitus. Diabetes is the commonest cause for renal dialysis in Australia. The term end-stage renal disease has become synonymous with the late stages of chronic renal failure. Diabetic nephropathy may be effectively prevented and treated by controlling glycemia and administering angiotensin-converting enzyme (ACE) inhibitors. J Am Soc Nephrol 2002 Jun; 13(6): 1615-1625]. |