2010 T. Franklin Williams Scholar Recipients

Kellie H. Campbell, MD, MA

“Referral Patterns and Associated Clinical Outcomes for Older Patients with Chronic Kidney Disease”

University of Chicago

Dr. Kellie H. Campbell is Instructor of medicine in the Section of Geriatrics and Palliative Medicine at the University of Chicago.  She is trained in Internal Medicine and Geriatrics.  Her main research interest lies in chronic kidney disease (CKD) and the research behind decision making as well as policies that affect older adults.  Dr. Campbell obtained her Bachelor of Science in Bacteriology and her medical degree at the University of Wisconsin.  Dr. Campbell completed internships in internal medicine at the University of Pittsburgh.  She then trained at the University of Chicago under a geriatrics fellowship and a primary care clinical research fellowship.  She then obtained her M.A. at the Harris School of Public Policy, University of Chicago.  Her T. Franklin Williams project focuses on the examination of referral patterns for older adults with diabetes and advanced CKD for specialty care by the nephrologist and to identify the relationship of non-referral to the nephrologist with important clinical outcomes.

 Research Abstract

2010 T. Franklin Williams Scholar
Kellie H. Campbell, MD, MA

Chronic kidney disease (CKD) is a rapidly growing public health problem disproportionately affecting older adults. While guidelines recommend referral to a nephrologist for patients with CKD well before the need for dialysis, older patients are often referred later or not at all by primary care physicians. Very little is known about the referral patterns for older adults or the clinical consequences of these patterns. We propose a study of older patients using data from a large administrative database, the Kaiser Permanente Northern California Diabetes Registry, that will evaluate: 1) the frequency of CKD and nephrology referral in older adults comparing adults age 50-70 with those greater than 70 in this at-risk population; 2) the role of age-associated factors such as cognitive impairment, functional disability, and competing medical co-morbidities in referral patterns on clinical outcomes including mortality and hemodialys is initiation. Results of this study will better characterize the referral patterns for older adults with CKD and identify potential intervention strategies for improving the referral process. Given the rapidly growing older population and our increasingly constrained health system resources, improving referral patterns for prevalent, costly diseases like CKD is desperately needed, and this project addresses this important need.

The recipient, selected by an academic selection committee composed of nationally prominent academic physicians, will receive a $75,000 grant over a two-year period. The award must be matched by support (either from the applicant’s home institution or a grant-making agency) that provides for 75% protected time for research. Research findings are presented at the American Geriatrics Society Annual Scientific Meeting at the conclusion of the recipient’s grant.

 

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