Uptal D. Patel, MD


Associate Professor of Medicine
Associate Professor in Pediatrics
Department / Division:
Medicine / Medicine-Nephrology
Address:
DUMC 3646
Durham, NC 27710
Appointment Telephone:
919-620-5300
Office Telephone:
919-668-8649
Fax:
919-668-7058
Training:
  • MD, University of California–San Francisco, School of Medicine, 1997
Residency:
  • Medicine and Pediatrics, University of Michigan, 1997-2001
Fellowship:
  • Pediatric Nephrology, University of Michigan, 2001-2005
  • Adult Nephrology, University of Michigan, 2002-2005
  • Robert Wood Johnson Clinical Scholars Program, 2003-2005
Clinical Interests:
Adult and pediatric nephrology, cardiovascular risk reduction and other management strategies for patients with chronic kidney disease, transitional care for children and adolescents with kidney disease
Research Interests:
Uptal Patel, MD, is an associate professor of medicine and pediatrics, an investigator in the Health Services Research and Development Unit at the Durham Veterans Affairs Medical Center, and core faculty at the Duke Clinical Research Institute.

He is a clinical researcher who is primarily interested in how structural aspects of health care delivery impact outcomes among patients with kidney disease. In efforts to determine the optimal clinical strategies to manage patients with kidney disease and identify opportunities for improvement in their treatment, he has a broad research agenda (epidemiology and outcomes, health services and quality improvement, and health policy) across several clinical domains within nephrology (chronic kidney disease, end-stage renal disease, cardiovascular medication use, hypertension, acute kidney injury) using a variety of study types and methodologies (surveys, qualitative analyses, simulation, secondary data analyses, systematic reviews, prospective cohort studies, and clinical trials).

Past and active projects address the following areas of interest: i) outcomes and quality of care in acute & chronic kidney disease; ii) barriers to optimal medication utilization in chronic conditions; and iii) organizational and systems approaches to improving care for chronic conditions, including the use of health information technology. These inter-disciplinary projects have been funded by a variety of public and private sources including the NIH, AHRQ, FDA, CMS, VA, ASN, and RPA.
Representative Publications:
  • Hall, RK; Wang, V; Jackson, GL; Hammill, BG; Maciejewski, ML; Yano, EM; Svetkey, LP; Patel, UD. Implementation of automated reporting of estimated glomerular filtration rate among Veterans Affairs laboratories: a retrospective study. BMC Medical Informatics and Decision Making. 2012;12:69.  Abstract
  • Patel, UD; Garg, AX; Krumholz, HM; Shlipak, MG; Coca, SG; Sint, K; Thiessen-Philbrook, H; Koyner, JL; Swaminathan, M; Passik, CS; Parikh, CR; Translational Research Investigating Biomarker Endpoints in Acute Kidney Injury (TRIBE-AKI) Consortium. Preoperative serum brain natriuretic peptide and risk of acute kidney injury after cardiac surgery. Circulation. 2012;125:1347-1355.  Abstract
  • Schell, JO; Patel, UD; Steinhauser, KE; Ammarell, N; Tulsky, JA. Discussions of the kidney disease trajectory by elderly patients and nephrologists: a qualitative study. American Journal of Kidney Diseases. 2012;59:495-503.  Abstract
  • Kagoma, YK; Weir, MA; Iansavichus, AV; Hemmelgarn, BR; Akbari, A; Patel, UD; Garg, AX; Jain, AK. Impact of estimated GFR reporting on patients, clinicians, and health-care systems: a systematic review. American Journal of Kidney Diseases. 2011;57:592-601.  Abstract
  • Orlando, LA; Belasco, EJ; Patel, UD; Matchar, DB. The chronic kidney disease model: a general purpose model of disease progression and treatment. BMC Medical Informatics and Decision Making. 2011;11:41.  Abstract
  • Parikh, CR; Coca, SG; Thiessen-Philbrook, H; Shlipak, MG; Koyner, JL; Wang, Z; Edelstein, CL; Devarajan, P; Patel, UD; Zappitelli, M; Krawczeski, CD; Passik, CS; Swaminathan, M; Garg, AX; TRIBE-AKI Consortium. Postoperative biomarkers predict acute kidney injury and poor outcomes after adult cardiac surgery. Journal of the American Society of Nephrology. 2011;22:1748-1757.  Abstract
  • Parikh, DS; Swaminathan, M; Archer, LE; Inrig, JK; Szczech, LA; Shaw, AD; Patel, UD. Perioperative outcomes among patients with end-stage renal disease following coronary artery bypass surgery in the USA. Nephrology Dialysis Transplantation. 2010;25:2275-2283.  Abstract
  • Patel, UD. Fetal origins of renal disparities. Seminars in Nephrology. 2010;30:42-50.  Abstract
  • Patel, UD; Greiner, MA; Fonarow, GC; Phatak, H; Hernandez, AF; Curtis, LH. Associations between worsening renal function and 30-day outcomes among Medicare beneficiaries hospitalized with heart failure. American Heart Journal. 2010;160:132-138.e1.  Abstract
  • Patel, UD; Ou, FS; Ohman, EM; Gibler, WB; Pollack, CV; Peterson, ED; Roe, MT. Hospital performance and differences by kidney function in the use of recommended therapies after non-ST-elevation acute coronary syndromes. American Journal of Kidney Diseases. 2009;53:426-437.  Abstract
  • Patwardhan, MB; Kawamoto, K; Lobach, D; Patel, UD; Matchar, DB. Recommendations for a clinical decision support for the management of individuals with chronic kidney disease. Clinical Journal of the American Society of Nephrology. 2009;4:273-283.  Abstract
  • Ellis, MJ; Parikh, CR; Inrig, JK; Kanbay, M; Patel, UD. Chronic kidney disease after hematopoietic cell transplantation: a systematic review. American Journal of Transplantation. 2008;8:2378-2390.  Abstract
  • Hudson, C; Hudson, J; Swaminathan, M; Shaw, A; Stafford-Smith, M; Patel, UD. Emerging concepts in acute kidney injury following cardiac surgery. Seminars in Cardiothoracic and Vascular Anesthesia. 2008;12:320-330.  Abstract
  • Matchar, DB; McCrory, DC; Orlando, LA; Patel, MR; Patel, UD; Patwardhan, MB; Powers, B; Samsa, GP; Gray, RN. Systematic review: comparative effectiveness of angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers for treating essential hypertension. Annals of Internal Medicine. 2008;148:16-29.  Abstract
  • Patel, UD; Hernandez, AF; Liang, L; Peterson, ED; LaBresh, KA; Yancy, CW; Albert, NM; Ellrodt, G; Fonarow, GC. Quality of care and outcomes among patients with heart failure and chronic kidney disease: A Get With the Guidelines -- Heart Failure Program study. American Heart Journal. 2008;156:674-681.  Abstract
  • Patel, UD; Davis, MM. Falling into the doughnut hole: drug spending among beneficiaries with end-stage renal disease under Medicare Part D plans. Journal of the American Society of Nephrology. 2006;17:2546-2553.  Abstract
  • Patel, UD; Davis, MM. Physicians' attitudes and practices regarding adherence to medical regimens by patients with chronic illness. Clinical Pediatrics. 2006;45:439-445.  Abstract
  • Patel, UD; Young, EW; Ojo, AO; Hayward, RA. CKD progression and mortality among older patients with diabetes. American Journal of Kidney Diseases. 2005;46:406-414.  Abstract
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