PCORnet® Resources are Powering Nephrology Research for Children and Adults

PCORnet® is intended to improve the nation’s capacity to efficiently conduct patient-centered health research, particularly comparative clinical effectiveness research (CER), by providing a large, highly representative network of health data, research expertise, and patient insights. PCORnet has been developed with funding from the Patient-Centered Outcomes Research Institute® (PCORI®).

blueline

THE PCORnet® INFRASTRUCTURE SOLVES KEY CHALLENGES IN NEPHROLOGY RESEARCH

Challenge: Underpowered trials

Challenge: High participant nonadherence

Challenge: Irrelevant study outcomes

Solution: Real-world data from everyday healthcare encounters with more than 50 million people annually across the U.S.

Solution: Proven, low-burden models for pragmatic research

Solution: Patient input integrated across the study lifecycle

blueline

CASE STUDIES: NEPHROLOGY RESEARCH POWERED BY PCORnet®

Evaluating Comparative Effectiveness of Empagliflozin in Type 2 Diabetes Population With and Without Chronic Kidney Disease (Empa DKD)

Study Design: Retrospective Observational

Funder: Boehringer Ingelheim

Principal Investigator: Neha Pagidipati, Duke Clinical Research Institute

Research questions:

  • Why aren’t patients with type 2 diabetes receiving guideline-recommended screening for diabetic kidney disease (DKD)?
  • Which medications are safest and most effective for patients with type 2 diabetes, with or without chronic kidney disease (CKD)?

Using PCORnet, the study team:

  • Used PCORnet to partner with 20 large healthcare systems
  • Included 62,197 adults with type 2 diabetes with or without kidney disease

Dissemination:

Pediatric KIDney Stone (PKIDS) Care Improvement Network

Study Design: Prospective Observational

Funder: Patient-Centered Outcomes Research Institute® (PCORI®)

Principal Investigator: Gregory Tasian, The Children's Hospital of Philadelphia

Research question: What are the differences in stone clearance and the lived experiences of youth following ureteroscopy, shock wave lithotripsy, and percutaneous nephrolithotomy for the removal of kidney and ureteral stones?

Using PCORnet, the study team:

  • Collaborated with 20 pediatric healthcare sites participating in PCORnet
  • Included 1,290 youth (ages 8–21) receiving kidney stone surgery
  • Co-designed with patients, caregivers, surgeons, and health systems

Dissemination: 

Preserving Kidney Function in Children with Chronic Kidney Disease (PRESERVE)

Study Design: Retrospective Observational

Funder: Patient-Centered Outcomes Research Institute® (PCORI®)

Principal Investigators: Christopher Forrest and Michelle Denberg, The Children’s Hospital of Philadelphia

Research questions:

  • Which monitoring strategies and blood pressure medications best preserve kidney function in pediatric patients with chronic kidney disease (CKD)?
  • What are the lived experiences of families and patients managing pediatric CKD?

Using PCORnet, the study team:

  • Included 20,100 children (ages 1–17) with CKD seen  at 15 healthcare institutions between Jan. 2009-Dec. 2021
  • Engaged caregivers to assess lived experiences managing blood pressure
  • Expanded the PCORnet® Common Data Model for pediatric and rare kidney disease research

Dissemination: 

  • Published findings on the comparative effectiveness of two treatments for high blood pressure in pediatric CKD in JAMA Pediatrics 
  • Published the study rationale, design, and methods in Kidney Medicine 
  • Published findings on using real-world electronic health record data to develop age-, sex-, and height-specific blood pressure percentiles for children in eBioMedicine 
blueline

ONGOING NEPHROLOGY STUDIES POWERED BY PCORnet®

Choosing Immune Suppression in Renal Transplantation by Efficacy and Morbidity (CISTEM2)

USDHub: Community Resource for Urinary Stone Disease Research

Implementation pRogram to Improve Screening and management for CKD in Diabetes (IRIS-CKD)

PREvention of CardIovascular and DiabEtic kidNey disease in Type 2 Diabetes (PRECIDENTD)

POWER YOUR NEPHROLOGY RESEARCH WITH PCORnet®

PCORnet resources are available to researchers, patient groups, industry, and agencies from all funding sources and affiliations. PCORI also offers funding for broad pragmatic studies using PCORnet.

 

Are you ready to find out how PCORnet can support your next research effort? Contact the PCORnet® Front Door to start the conversation.

PCORnet is a national resource, funded by PCORI, that enables insights from high-quality health data, patient partnership, and research expertise to deliver fast, trustworthy answers that advance health outcomes. The network supports both observational and interventional research.