Delphine Tuot, MD

Associate Professor

College: Stanford University, BS
Medical School: McGill University Faculty of Medicine, MDCM
Other graduate training: University of California, San Francisco, MAS
Internal Medicine residency: University of California, San Francisco
Nephrology fellowship: University of California, San Francisco

Dr. Tuot is faculty in the Division of Nephrology at ZSFG, Associate CMO of Specialty Care and Diagnostics at ZSFG, Director of the San Francisco Health Network electronic consultation program, and Director of the UCSF Center for Innovation in Access and Quality at ZSFG. Her interests include primary care management of chronic kidney disease (CKD), provider-patient communication, patient education and self-management, and implementation science. She is currently focused on the development, implementation, and evaluation of interventions that increase patient awareness and self-management of kidney health, as well as health system interventions that enhance patient access to timely, high-quality specialty care, particularly within safety-net settings.
2019 - Diversity, Equity, and Inclusion Champion Training, University of California
M.A.S., 2011 - Clinical Research, University of California, San Francisco
Clinical Fellowship, 2011 - Nephrology, University of California, San Francisco
Residency, 2008 - Internal Medicine, University of California, San Francisco
Honors and Awards
  • Inductee, Reviewer Hall of Fame, AJKD, 2018
  • Fellow of the National Kidney Foundation, NKF, 2016
  • Early Women's Professional Development Scholarship, AAMC, 2013
  • American Kidney Fund Clinical Sciencist in Nephrology, 2010-2011
  • Andy I. Choi Memorial Scholarship, UCSF, 2010-2011
  1. Knox M, Murphy EJ, Leslie T, Wick R, Tuot DS. e-Consult implementation success: lessons from 5 county-based delivery systems. 2020. PMID: 31951363

  2. Bello AK, Ronksley PE, Tangri N, Kurzawa J, Osman MA, Singer A, Grill AK, Nitsch D, Queenan JA, Wick J, Lindeman C, Soos B, Tuot DS, Shojai S, Brimble KS, Mangin D, Drummond N. Quality of Chronic Kidney Disease Management in Canadian Primary Care. 2019. PMID: 31483474

  3. M. OSMAN, P.E. Ronksley, N. Tangri, J. Kurzawa, A. Grill, W. James, C. Lindeman, B. Soos, D. Tuot, B. Scott, N. Drummond, A.K. Bello. SUN-233 The state of CKD care in Canadian primary care: a retrospective analysis of a national database. 2019. PMID:

  4. Lee J, Chu C, Guzman D, Fontil V, Velasquez A, Powe NR, Tuot DS. Albuminuria Testing by Race and Ethnicity among Patients with Hypertension with and without Diabetes. 2019. PMID: 31167180

  5. Ku E, Hsu RK, Tuot DS, Bae SR, Lipkowitz MS, Smogorzewski MJ, Grimes BA, Weir MR. Magnitude of the Difference Between Clinic and Ambulatory Blood Pressures and Risk of Adverse Outcomes in Patients With Chronic Kidney Disease. 2019. PMID: 31014164

  6. Valy Fontil, Kate Radcliffe, Helena C Lyson, Neda Ratanawongsa, Courtney Lyles, Delphine Tuot, Kaeli Yuen, Urmimala Sarkar. Testing and improving the acceptability of a web-based platform for collective intelligence to improve diagnostic accuracy in primary care clinics. 2019. PMID:

  7. Banerjee T, Crews DC, Tuot DS, Pavkov ME, Burrows NR, Stack AG, Saran R, Bragg-Gresham J, Powe NR. Poor accordance to a DASH dietary pattern is associated with higher risk of ESRD among adults with moderate chronic kidney disease and hypertension. 2019. PMID: 30975440

  8. Delphine S. Tuot, Karen K. Wong, Alexandra Velasquez, Deidra C. Crews, lan B. Zonderman, Michele K. Evans, Neil R. Powe. CKD Awareness in the General Population: Performance of CKD-Specific Questions. 2019. PMID:

  9. Vanessa Grubbs, Delphine S. Tuot, Neil R. Powe, Donal O’Donoghue, Catherine A. Chesla. Family Involvement in Decisions to Forego or Withdraw Dialysis: A Qualitative Study of Nephrologists in the United States and England. 2019. PMID:

  10. Bello AK, Ronksley PE, Tangri N, Kurzawa J, Osman MA, Singer A, Grill A, Nitsch D, Queenan JA, Wick J, Lindeman C, Soos B, Tuot DS, Shojai S, Brimble S, Mangin D, Drummond N. Prevalence and Demographics of CKD in Canadian Primary Care Practices: A Cross-sectional Study. 2019. PMID: 30993231

  11. Contreras MG, Lee J, Shakhnazaryan N, Shakhnazaryan N, Salamanca N, Creasy K, Tuot D, Marquez-Magaña L. San Francisco Health Initiative: Creating Agents of Change to Build Capacity for Free Clinic Research. 2018. PMID: 31346588

  12. Tuot DS, Liddy C, Vimalananda VG, Pecina J, Murphy EJ, Keely E, Simon SR, North F, Orlander JD, Chen AH. Evaluating diverse electronic consultation programs with a common framework. 2018. PMID: 30355346

  13. Tuot DS, Lin F, Norris K, Gassman J, Smogorzewski M, Ku E. Depressive Symptoms Associate With Race and All-Cause Mortality in Patients With CKD. 2018. PMID: 30775619

  14. Bragg-Gresham J, Morgenstern H, McClellan W, Saydah S, Pavkov M, Williams D, Powe N, Tuot D, Hsu R, Saran R. County-level air quality and the prevalence of diagnosed chronic kidney disease in the US Medicare population. 2018. PMID: 30063741

  15. Olayiwola JN, Potapov A, Gordon A, Jurado J, Magana C, Knox M, Tuot D. Electronic consultation impact from the primary care clinician perspective: Outcomes from a national sample. 2018. PMID: 29991315

  16. Tuot DS, McCulloch CE, Velasquez A, Schillinger D, Hsu CY, Handley M, Powe NR. Impact of a Primary Care CKD Registry in a US Public Safety-Net Health Care Delivery System: A Pragmatic Randomized Trial. 2018. PMID: 29699885

  17. Cervantes L, Tuot D, Raghavan R, Linas S, Zoucha J, Sweeney L, Vangala C, Hull M, Camacho M, Keniston A, McCulloch CE, Grubbs V, Kendrick J, Powe NR. Association of Emergency-Only vs Standard Hemodialysis With Mortality and Health Care Use Among Undocumented Immigrants With End-stage Renal Disease. Volume 178 of Issue 2. 2018. PMID: 29255898

  18. Malkina A, Tuot DS. Role of telehealth in renal replacement therapy education. Volume 31 of Issue 2. 2018. PMID: 29314304

  19. Olayiwola JN, Knox M, Dubé K, Lu EC, Woldeyesus T, James IE, Willard-Grace R, Tuot D. Understanding the Potential for Patient Engagement in Electronic Consultation and Referral Systems: Lessons From One Safety Net System. 2017. PMID: 28940495

  20. Rich NC, Vartanian SM, Sharief S, Freitas DJ, Tuot DS. A mixed-methods investigation of incident Hemodialysis access in a safety-net population. Volume 18 of Issue 1. 2017. PMID: 28865432

  21. Bello AK, Ronksley PE, Tangri N, Singer A, Grill A, Nitsch D, Queenan JA, Lindeman C, Soos B, Freiheit E, Tuot D, Mangin D, Drummond N. A national surveillance project on chronic kidney disease management in Canadian primary care: a study protocol. Volume 7 of Issue 8. 2017. PMID: 28780553

  22. Ulloa JG, Russell MD, Chen AH, Tuot DS. A cohort study of a general surgery electronic consultation system: safety implications and impact on surgical yield. Volume 17 of Issue 1. 2017. PMID: 28645288

  23. Kwok J, Olayiwola JN, Knox M, Murphy EJ, Tuot DS. Electronic consultation system demonstrates educational benefit for primary care providers. 2017. PMID: 28614974

  24. Peralta CA, Frigaard M, Rubinsky AD, Rolon L, Lo L, Voora S, Seal K, Tuot D, Chao S, Lui K, Chiao P, Powe N, Shlipak M. Implementation of a pragmatic randomized trial of screening for chronic kidney disease to improve care among non-diabetic hypertensive veterans. Volume 18 of Issue 1. 2017. PMID: 28399844

  25. Dharmarajan SH, Bragg-Gresham JL, Morgenstern H, Gillespie BW, Li Y, Powe NR, Tuot DS, Banerjee T, Burrows NR, Rolka DB, Saydah SH, Saran R. State-Level Awareness of Chronic Kidney Disease in the U.S. Volume 53 of Issue 3. 2017. PMID: 28410862

  26. Tuot DS, Boulware LE. Telehealth Applications to Enhance CKD Knowledge and Awareness Among Patients and Providers. Volume 24 of Issue 1. 2017. PMID: 28224941

  27. Keely EJ, Archibald D, Tuot DS, Lochnan H, Liddy C. Unique Educational Opportunities for PCPs and Specialists Arising From Electronic Consultation Services. Volume 92 of Issue 1. 2017. PMID: 28030423

  28. Fulford D, Tuot DS, Mangurian C. Electronic Psychiatric Consultation in Primary Care in the Safety Net. Volume 67 of Issue 10. 2016. PMID: 27691391

  29. Tuot DS, Zhu Y, Velasquez A, Espinoza J, Mendez CD, Banerjee T, Hsu CY, Powe NR. Variation in Patients' Awareness of CKD according to How They Are Asked. Volume 11 of Issue 9. 2016. PMID: 27340288

  30. de Boer IH, Kovesdy CP, Navaneethan SD, Peralta CA, Tuot DS, Vazquez MA, Crews DC. Pragmatic Clinical Trials in CKD: Opportunities and Challenges. Volume 27 of Issue 10. 2016. PMID: 27283497

  31. Xie Y, Maziarz M, Tuot DS, Chertow GM, Himmelfarb J, Hall YN. Risk prediction to inform surveillance of chronic kidney disease in the US Healthcare Safety Net: a cohort study. Volume 17 of Issue 1. 2016. PMID: 27276913

  32. Daniel Selvig, Justin L. Sewell, Delphine Tuot, Lukejohn Day. Sa1099 Effects of a Post-Endoscopy Discharge Policy to Improve Access to a Safety Net Gastroenterology Clinic. 2016. PMID:

  33. Tuot DS, Scherzer R, Leong H, Hung AM, Grunfeld C, Shlipak MG. Use of cystatin C to inform metformin eligibility among adult veterans with diabetes. Volume 3. 2016. PMID: 28603691

  34. Tuot DS, Leeds K, Murphy EJ, Sarkar U, Lyles CR, Mekonnen T, Chen AH. Facilitators and barriers to implementing electronic referral and/or consultation systems: a qualitative study of 16 health organizations. Volume 15. 2015. PMID: 26687507

  35. Tuot DS, Velasquez A, McCulloch CE, Banerjee T, Zhu Y, Hsu CY, Handley M, Schillinger D, Powe NR. The Kidney Awareness Registry and Education (KARE) study: protocol of a randomized controlled trial to enhance provider and patient engagement with chronic kidney disease. Volume 16. 2015. PMID: 26494562

  36. Tuot DS, Lin F, Shlipak MG, Grubbs V, Hsu CY, Yee J, Shahinian V, Saran R, Saydah S, Williams DE, Powe NR. Potential Impact of Prescribing Metformin According to eGFR Rather Than Serum Creatinine. Volume 38 of Issue 11. 2015. PMID: 26307607

  37. Tuot DS, Murphy EJ, McCulloch CE, Leeds K, Chan E, Chen AH. Leveraging an electronic referral system to build a medical neighborhood. Volume 3 of Issue 4. 2015. PMID: 26699344

  38. Tuot DS, Peralta CA. To screen or not to screen: that is not (yet) the question. Volume 10 of Issue 4. 2015. PMID: 25779993

  39. Tuot DS, Grubbs V. Chronic kidney disease care in the US safety net. Volume 22 of Issue 1. 2015. PMID: 25573515

  40. Tuot DS, Sewell JL, Day L, Leeds K, Chen AH. Increasing access to specialty care: patient discharges from a gastroenterology clinic. Volume 20 of Issue 10. 2014. PMID: 25365684

  41. Carlson AQ, Tuot DS, Jen KY, Butcher B, Graf J, Sam R, Imboden JB. Pauci-immune glomerulonephritis in individuals with disease associated with levamisole-adulterated cocaine: a series of 4 cases. Volume 93 of Issue 17. 2014. PMID: 25398064

  42. Tuot DS, Diamantidis CJ, Corbett CF, Boulware LE, Fox CH, Harwood DH, Star RA, Rys-Sikora KE, Narva A. The last mile: translational research to improve CKD outcomes. Volume 9 of Issue 10. 2014. PMID: 24970870

  43. McBride D, Dohan D, Handley MA, Powe NR, Tuot DS. Developing a CKD registry in primary care: provider attitudes and input. Volume 63 of Issue 4. 2013. PMID: 24295612

  44. Tuot DS, Powe NR. Translating science to improve health: hope for patients with kidney disease at what cost? Volume 159 of Issue 6. 2013. PMID: 24042371

  45. Tuot DS, Davis E, Velasquez A, Banerjee T, Powe NR. Assessment of printed patient-educational materials for chronic kidney disease. Volume 38 of Issue 3. 2013. PMID: 23970127

  46. Sewell JL, Day LW, Tuot DS, Alvarez R, Yu A, Chen AH. A brief, low-cost intervention improves the quality of ambulatory gastroenterology consultation notes. Volume 126 of Issue 8. 2013. PMID: 23791206

  47. Justin L. Sewell, Lukejohn W. Day, Delphine Tuot, Alice Chen. Tu1250 A Brief, Low-Cost Intervention Improves the Quality of Ambulatory Gastroenterology Consultation NOTES. 2013. PMID:

  48. Tuttle KR, Tuot DS, Corbett CL, Setter SM, Powe NR. Type 2 translational research for CKD. Volume 8 of Issue 10. 2013. PMID: 23620444

  49. Grubbs V, Plantinga LC, Tuot DS, Hedgeman E, Saran R, Saydah S, Rolka D, Powe NR. Americans' use of dietary supplements that are potentially harmful in CKD. Volume 61 of Issue 5. 2013. PMID: 23415417

  50. Tuot DS, Plantinga LC, Judd SE, Muntner P, Hsu CY, Warnock DG, Gutiérrez OM, Safford M, Powe NR, McClellan WM. Healthy behaviors, risk factor control and awareness of chronic kidney disease. Volume 37 of Issue 2. 2013. PMID: 23392070

  51. Plantinga LC, Tuot DS, Grubbs V, Hsu CY, Powe NR. Chronic kidney disease identification in a high-risk urban population: does automated eGFR reporting make a difference? Volume 89 of Issue 6. 2012. PMID: 22684427

  52. Tuot DS, Sehgal NL, Neeman N, Auerbach A. Enhancing quality of trainee-written consultation notes. Volume 125 of Issue 7. 2012. PMID: 22560812

  53. Tuot DS, Plantinga LC, Hsu CY, Powe NR. Is awareness of chronic kidney disease associated with evidence-based guideline-concordant outcomes? Volume 35 of Issue 2. 2012. PMID: 22286715

  54. Tuot DS, Plantinga LC, Hsu CY, Jordan R, Burrows NR, Hedgeman E, Yee J, Saran R, Powe NR. Chronic kidney disease awareness among individuals with clinical markers of kidney dysfunction. Volume 6 of Issue 8. 2011. PMID: 21784832

  55. Diamond LC, Tuot DS, Karliner LS. The use of Spanish language skills by physicians and nurses: policy implications for teaching and testing. Volume 27 of Issue 1. 2011. PMID: 21773850

  56. Vanessa Grubbs, Laura Plantinga, Delphine Tuot, Neil Powe. 106 Missed Opportunity? —Dental Visits by Chronic Kidney Disease Status in Underserved Patients. 2011. PMID:

  57. Laura Plantinga, Delphine Tuot, Vanessa Grubbs, Neil Powe. 248 Prevalence of Diagnosed Risk Factors in Underserved Patients Without Creatinine Measurements is High. 2011. PMID:

  58. Delphine Tuot, Laura Plantinga, Vanessa Grubbs, Neil Powe. 329 Limited English Proficiency and Acute Health Care Utilization Among Patients With CKD. 2011. PMID:

  59. Tuot DS, Powe NR. Chronic kidney disease in primary care: an opportunity for generalists. Volume 26 of Issue 4. 2011. PMID: 21359580

  60. Plantinga LC, Tuot DS, Powe NR. Awareness of chronic kidney disease among patients and providers. Volume 17 of Issue 3. 2010. PMID: 20439091

  61. Tuot D, Gibson S, Caughey AB, Frassetto LA. Intradialytic hyperalimentation as adjuvant support in pregnant hemodialysis patients: case report and review of the literature. Volume 42 of Issue 1. 2009. PMID: 19911296

  62. Wu LC, Tuot DS, Lyons DS, Garcia KC, Davis MM. Two-step binding mechanism for T-cell receptor recognition of peptide MHC. Volume 418 of Issue 6897. 2002. PMID: 12152083