PI 18 - Kidney Function Testing

Proportion of Indigenous regular clients with a selected chronic disease who have a selected kidney function test result recorded.

Description

Proportion of regular clients who are Indigenous aged 18 years and over, who are recorded as having one of the following:

Type 2 diabetes
Cardiovascular disease (CVD)
Type 2 diabetes and/or CVD

and who have also had one of the following:

An estimated glomerular filtration rate (eGFR) and an albumin/creatinine ratio (ACR) test result recorded
Only an eGFR test result recorded
Only an ACR test result recorded
Neither an eGFR nor an ACR test result recorded

within the previous 12 months.

Notes

User may select between AIHW's definition of Regular Client (attended the OATSIH-funded primary health care service at least 3 times in 2 years), or Communicare's Current Patient status.
Patients must be recorded as Aboriginal or Torres Strait Islander or both.
ACR results are identified as belonging to a qualifier with the system code of ACR and eGFR results are identified as belonging to a qualifier with the system code of GFE. Both laboratory and manually entered results are included. For more information, see System codes.

Table 1. NKPI PI 18
Element	Description
Communicare reports	Report > National KPI > PI18 Kidney Function Report > National KPI > PI18 Kidney Function Patients
Numerator	ACR and eGFR results must be within 12 months of the end of the report period. Both CVD and diabetes patients are disaggregated by whether or not they have both an eGFR,and ACR, or neither.
Denominator	Regular, Indigenous patients aged 18 years and over at the end of the report period with Type 2 diabetes or CVD. For more information about condition codes, see Condition codes reference.
Disaggregation	Age 18–24 years 25–34 years 35–44 years 45–54 years 55–64 years 65 years and older Sex Male Female Chronic disease Type 2 diabetes Cardiovascular disease Either or both of the above Test an eGFR only an ACR only both an eGFR and an ACR neither an eGFR nor an ACR
Additional data recording considerations	Type 2 diabetes – specifically excludes Type I diabetes, secondary diabetes, gestational diabetes mellitus (GDM), previous GDM, Impaired fasting glucose, and impaired glucose tolerance ACR – refers to an albumin/creatinine ratio an eGFR only – a recorded eGFR result, where an ACR result HAS NOT been recorded an ACR only – a recorded ACR result, where an eGFR result HAS NOT been recorded both an eGFR and an ACR – a recorded eGFR result AND a recorded ACR result neither an eGFR NOR an ACR – an eGFR result AND an ACR result HAS NOT been recorded Negative ACR and eGFR values are reported as not recorded