The percentage of patients aged 18 years and older with proteinuria who are taking an angiotensin converting enzyme inhibitor (ACE-I) or angiotensin receptor blocker (ARB)
Measure Specs
General Information
Numerator
Patients with a current fill for an ACE-I or ARB
Denominator
All patients aged 18 years and older with a urine protein >= 200 mg/g
Exclusions
Specific exclusions:
Patients with contraindication to an ACE inhibitor or ARB, including pregnancy, prior angioedema, hypotension, hyperkalemia, rising creatinine, chronic kidney disease stage 3-5 (without dialysis), aortic stenosis, hypertrophic cardiomyopathy, multiple myeloma with treatment, diabetes diagnosis, renal transplant, immunosuppresive therapy
Patient data confirming pregnancy/delivery, pregnancy planning, breastfeeding, hypotension, or refill for Aliskiren in the past 6 months
General exclusions:
• Evidence of metastatic disease or active treatment of malignancy (chemotherapy or radiation therapy) in the last 6 months;
• Patients who have been in a skilled nursing facility in the last 3 months
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