Agreement of microvascular complications and events in the NDR versus EHR
retinopathy, Albuminuria, albuminuria
RETINOPATHY
Not surprisingly, the agreement between the NDR and EHRs was best for the more objective variables creatinine and retinopathy. For these variables, the minute discrepancies between the two sources were probably attributable to the human factor in EHR documentation or transfer to the NDR. Albuminuria is predominantly reported to the NDR as a grade based on the UACR value at one or several occasions. Thus, the quality of this variable is ultimately dependent on the clinicians’ judgement. Ignorance about the cut-offs between albuminuria grades may be one source of error. Clinicians may also see variant need for repeated measures of UACR before making the diagnosis of albuminuria. According to guidelines, albuminuria should be diagnosed if indicated on 2 out of 3 measurements within 3–6 months.Regarding foot-at-risk grade, national guidelines from The Swedish Association of Local Authorities and Regions