{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:36:57Z","timestamp":1788914217585,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T00:00:00Z","timestamp":1749513600000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Adults with Type 2 diabetes mellitus and chronic kidney disease experience higher risk for progression to end stage kidney disease, which negatively impacts health, increases medical costs, and decreases quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Determine if an audit and feedback intervention in a local nephrology clinic can increase provider adherence to a clinical practice guideline that supports the prescription of sodium glucose cotransporter\u20102 inhibitors to delay progression of chronic kidney disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A pretest\u2010posttest design was used to determine if an audit and feedback tool delivered to providers at 3\u2010week intervals would increase provider adherence to the guideline recommendation over the course of 3 months. A clinical decision guide was provided to participants at the onset of the intervention with structured interviews accompanying the audit and feedback cycles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>English speaking physicians and advanced practice providers were recruited from a local nephrology outpatient clinic in the southeastern United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>To evaluate the significance of the intervention, a chi\u2010square test was used to evaluate the change in prescribing of SGLT\u20102 inhibitors compared to the 3 months before the intervention. Logistic regression assisted with examining the relationship between the intervention and proportion of new SGLT\u20102 inhibitor prescriptions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In this setting, statistical analysis indicated that the intervention significantly increased prescription of SGLT\u20102 inhibitors in adults with Type 2 diabetes and chronic kidney disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The intervention significantly increased provider adherence to the clinical guideline. Additional implementation on a larger scale is warranted to validate findings and further investigate barriers to prescribing that were reported by participating providers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jep.70132","type":"journal-article","created":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T09:58:15Z","timestamp":1749549495000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Audit and Feedback Supporting New Guideline Implementation in Chronic Kidney Disease"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-9990-1738","authenticated-orcid":false,"given":"Megan E.","family":"Lanpher","sequence":"first","affiliation":[{"name":"College of Nursing University of South Carolina  Columbia"},{"name":"Spartanburg Nephrology Associates  Spartanburg South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brooke","family":"Patterson","sequence":"additional","affiliation":[{"name":"College of Nursing University of South Carolina  Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad","family":"Ebrahim","sequence":"additional","affiliation":[{"name":"Spartanburg Nephrology Associates  Spartanburg South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abbas S.","family":"Tavakoli","sequence":"additional","affiliation":[{"name":"College of Nursing University of South Carolina  Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,10]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30045-3"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40620-022-01336-7"},{"issue":"5","key":"e_1_2_15_4_1","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1016\/j.kint.2022.06.008","article-title":"KDIGO 2022 Clinical Practice Guideline for Diabetes Management in Chronic Kidney Disease","volume":"102","author":"International Society of Nephrology","year":"2022","journal-title":"Kidney International"},{"key":"e_1_2_15_5_1","unstructured":"Centers for Disease Control and Prevention (2022 September 30).Diabetes Coexisting Conditions and Complications[online]. 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