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Pediatric Nephrology Resources for Healthcare Professionals
Developed by Robert S. Gillespie, MD, MPH
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PC Tools for Nephrologists

StoneSheet-24 

by Robert Gillespie, MD, MPH

24-hour urine collections for stone risk factors are useful, but difficult to interpret in pediatric patients.  The normal ranges in pediatrics are very different; some vary by age and some take into account weight or GFR.  This Excel spreadsheet takes the results from a 24-hour urine study and recalculates them according to age-specific pediatric normals. It also determines estimated (Schwarz formula) and calculated (UV/P) creatinine clearance.  You can compare the two to help evaluate the completeness of the 24-hour collection.  It prepares a printable one-page summary with all the information, graphs, and space for you to write or type your interpretation.  Citations for the reference ranges are provided.  This solution was presented as a poster at the American Medical Infomatics Association 2003 Annual Meeting.  This is designed to work with the Mission Pharmacal StoneRisk Profile and Quest’s #442 “Stone Risk Diagnostic Profile,” (which is the same and actually goes to Mission), but it should work with any 24-hour urine tests, as long as you pay close attention to the units.  You can also customize the printout with your hospital's logo.  This spreadsheet is not affiliated with or endorsed by any commercial laboratory service.

Instructions (.htm)        Download File (Excel .xls)

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StoneSheet Spot      

by Robert Gillespie, MD, MPH

Less elaborate than the StoneSheet-24, this Excel spreadsheet lets you enter the results of random or “spot” urine tests for stone-related substances such as calcium, oxalate, uric acid and citrate.  You enter patient information and results, and the spreadsheet calculates the ratios and presents them graphically along with age-specific reference ranges.  Space for notes or interpretation, handwritten or typed, is provided.  All of this fits on a single 8-1/2 x 11 page, ideal for printing.  You can also customize this with your hospital's logo.

View Sample Report (.pdf)    Instructions (.htm)    Download File (Excel .xls)

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Lab Result "Report Card" Generator
by Robert Gillespie, MD, MPH

 
This solution provides a one-page summary of monthly lab results for dialysis patients.  Large dialysis chains already have software to generate these reports; now it is available to small independent centers as well!  It shows the results, the reference ranges, and a comment on the results and what they mean to the patient.  You can edit the reference ranges to agree with the values used at your center.

View Sample Report (.pdf)    Instructions (.htm)    Download File (Excel .xls)

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Kt/V Calculator
by Robert Gillespie, MD, MPH


This solution calculates Kt/V (and URR) for hemodialysis using the Daguirdas II formula.  It creates a printable one-page summary, comparing prescribed to delivered.  Values below K/DOQI standards are flagged in red.  This may be helpful for prescribing dialysis as well, as you can try different combinations of time, blood flow, etc. and compare the predicted Kt/V.  This is quick and simple solution.  Be sure also to look at Asher Schachter's kt-v.net,  a very sophisticated online solution.

View Sample Report (.pdf)    Instructions (.htm)    Download File (Excel .xls)

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Transplant Medication List
by Robert Gillespie, MD, MPH, and Tom Nemeth, RPh

 
This solution prepares a printable, one-page medication list for your transplant patients.  You can quickly select the medications from the drop-down lists, or enter other unlisted medications.  It includes the drugs, the doses, a graphic chart of when to take them, and special information for each drug.  Keep a copy online in your clinic, and you will always have access to your patients' most recent medication list. Improve adherence by printing out a current list and giving it to your patients at each visit. 

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Ambulatory Blood Pressure Monitoring Report Template
by Robert Gillespie, MD, MPH

This fill-in-the-blank template creates a written report and interpretation for a 24-hour ambulatory blood pressure study.  It calculates BSA, % sleep decline automatically and flags most results as normal, intermediate or abnormal.  It is fully customizable. 

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Change in Kidney Function Graph

* Improved--Now uses Cystatin C or creatinine! *
by Robert Gillespie, MD, MPH

 If you like to graph 1/serum creatinine or cystatin C levels to follow changes in renal function, this handy application will do it for you.
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Pocket PC (PDA/Mobile) Tools for Nephrologists
PocketStone
by Robert Gillespie, MD, MPH
 
This is a pocket version of the StoneSheet-24 listed above.  Due to the limitations of Pocket Excel, it is much less elaborate, and does not produce a nice printout.  It may be helpful for a quick evaluation of results.  Runs on Pocket Excel.
 
SuperSchwartz
by Robert Gillespie, MD, MPH
 
A quick creatinine clearance calculator.  Uses the Schwartz formula, and will also calculate a formal creatinine clearance from a 24-hour urine collection.  Converts inches to centimeters, too, since Schwarz uses centimeters.  Runs on Pocket Excel.
 
Mini-Kt/V
by Robert Gillespie, MD, MPH
 
This is a quick and simple Kt/V calculator based on the Daguirdas II equation.  Runs on Pocket Excel.
 
 
Download Files
(.zip file containing all 3 as Pocket Excel files [.pxt and .pxl] and instructions in a Microsoft Word document)
 

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The professional section of KidneyWeb is intended for use only by qualified health care professionals, not by the general public, patients, or families/friends of patients.  The information provided here is general in nature and will not apply to all patients.  Only a health care professional can determine whether these materials are appropriate for a particular individual.  If you are a patient or family member/friend of a patient, talk with your health care professional before using these materials.  KidneyWeb and all the content on it are maintained independently and not affiliated with or endorsed by any organization named therein.