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Algorithm scours electronic health records to reveal hidden kidney disease


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NEW YORK, NY Diagnosing chronic kidney disease, which is often undetected until it causes irreversible damage, may soon become automated with a new algorithm that interprets data from electronic medical records.
The algorithm, developed by researchers at Columbia University Vagelos College of Physicians and Surgeons, automatically scours a patient s electronic medical record for results of blood and urine tests and, using a mix of established equations and machine learning to process the data, can alert physicians to patients in the earliest stages of chronic kidney disease.
A study of the algorithm was published in the journal 
npj Digital Medicine in April. ....

New York , United States , Mailman School Of Public Health , South Australia , Chunhua Weng , Elizabethw Karlson , Iuliana Ionita Laza , Krzysztof Kiryluk , Atlas Khan , Paule Drawz , Richarda Dart , Karla Mehl , George Hripcsak , Sumit Mohan , David Fasel , Fernanda Polubriaginof , Alig Gharavi , Peggyl Peissig , Nicholasp Tatonetti , Ericb Larson , Matthewa Hathcock Mayo , Francesca Zanoni , Shefali Setia Verma , Columbia University Irving Medical Center , Vagelos College Of Physicians , National Institute Of Diabetes ,

Primary care physicians account for a minority of spending on low-value care


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Primary care physicians (PCPs) are seen as gatekeepers to reduce spending on low-value health care services, which have been estimated to cost the health care system up to $100 billion annually. A brief research report published in
Annals of Internal Medicine analyzed how much low-value spending is directly related to PCPs services and referral decisions.
Researchers from the American Board of Family Medicine, Harvard, Mount Sinai, and Stanford analyzed Medicare Part B claims between 2007 and 2014 to estimate the share of Medicare beneficiaries low-value spending that was directly related to their PCP s services or referrals. Low-value services were identified using a consensus set of 31 services previously judged to be low-value by national physician societies, Medicare criteria, and clinical guidelines. Such services include imaging for non-specific back pain, PSA screening for men over the age of 75, and arthroscopic surgery ....

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