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 Interim Division Chief of Nephrology at ZSFG, Associate CMO of Specialty Care and Diagnostics at ZSFG, 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, equitable 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. Ding X, Barnett M, Mehrotra A, Tuot DS, Bitterman DS, Miller TA. Classifying unstructured electronic consult messages to understand primary care physician specialty information needs. 2022. PMID: 35751571


  3. Sharma AE, Khoong EC, Sierra M, Rivadeneira NA, Nijagal MA, Su G, Lyles CR, Defries T, Tuot D, Sarkar U. System-level factors associated with telephone and video visit use: Survey of safety-net clinicians during the early phase of COVID-19. 2022. PMID: 35148271

  4. Bruce MA, Thorpe RJ, Kermah D, Shen J, Nicholas SB, Beech BM, Tuot DS, Ku E, Waterman AD, Duru K, Brown A, Norris KC. Religious Service Attendance and Mortality among Adults in the United States with Chronic Kidney Disease. 2021. PMID: 34948788

  5. Jiang MY, Song R, Chen R, Cho A, Bellou S, Zhuo M, Li J, Krupat E, Mothi SS, Shah K, Policht J, Rosenblatt A, Berns J, Tuot DS, Heung M, Hsiao LL. Addressing the nephrology workforce shortage via a novel undergraduate pipeline program: the Kidney Disease Screening and Awareness Program (KDSAP) at 10 years. 2021. PMID: 34678335

  6. Chu CD, Powe NR, McCulloch CE, Crews DC, Han Y, Bragg-Gresham JL, Saran R, Koyama A, Burrows NR, Tuot DS, Centers for Disease Control and Prevention Chronic Kidney Disease Surveillance Team. Trends in Chronic Kidney Disease Care in the US by Race and Ethnicity, 2012-2019. 2021. PMID: 34570204

  7. Okpechi IG, Tinwala MM, Muneer S, Zaidi D, Ye F, Hamonic LN, Khan M, Sultana N, Brimble S, Grill A, Klarenbach S, Lindeman C, Molnar A, Nitsch D, Ronksley P, Shojai S, Soos B, Tangri N, Thompson S, Tuot D, Drummond N, Mangin D, Bello AK. Prevalence of polypharmacy and associated adverse health outcomes in adult patients with chronic kidney disease: protocol for a systematic review and meta-analysis. 2021. PMID: 34218816

  8. Chu CD, Chen MH, McCulloch CE, Powe NR, Estrella MM, Shlipak MG, Tuot DS. Patient Awareness of CKD: A Systematic Review and Meta-analysis of Patient-Oriented Questions and Study Setting. 2021. PMID: 34401725

  9. Anjana E. Sharma, Elaine C. Khoong, Malini A. Nijagal, Courtney R. Lyles, George Su, Triveni DeFries, Urmimala Sarkar, Delphine Tuot. Clinician Experience with Telemedicine at a Safety-net Hospital Network during COVID-19: A Cross-sectional Survey. 2021. PMID:

  10. Drawz PE, Agarwal A, Dwyer JP, Horwitz E, Lash J, Lenoir K, McWilliams A, Oparil S, Rahbari-Oskoui F, Rahman M, Parkulo MA, Pemu P, Raj DS, Rocco M, Soman S, Thomas G, Tuot DS, Whelton PK, Pajewski NM. Concordance Between Blood Pressure in the Systolic Blood Pressure Intervention Trial and in Routine Clinical Practice. 2020. PMID: 33044494

  11. Chu CD, Powe NR, McCulloch CE, Banerjee T, Crews DC, Saran R, Bragg-Gresham J, Morgenstern H, Pavkov ME, Saydah SH, Tuot DS. Angiotensin-Converting Enzyme Inhibitor or Angiotensin Receptor Blocker Use Among Hypertensive US Adults With Albuminuria. 2020. PMID: 33190561

  12. Chu CD, Ku E, Fallahzadeh MK, McCulloch CE, Tuot DS. The Kidney Failure Risk Equation for Prediction of Allograft Loss in Kidney Transplant Recipients. 2020. PMID: 33319199

  13. Tuot DS, Crowley ST, Katz LA, Leung J, Alcantara-Cadillo DK, Ruser C, Talbot-Montgomery E, Vassalotti JA. The Kidney Score Platform for Patient and Clinician Awareness, Communication, and Management of Kidney Disease: Protocol for a Mixed Methods Study. 2020. PMID: 33074162

  14. Chu CD, Tuot DS, Harrison JD, Duong J, Luxenberg A, Khanna RR. Completeness and quality of text paging for subspecialty consult requests. 2020. PMID: 32820085

  15. Moroz I, Archibald D, Breton M, Cote-Boileau E, Crowe L, Horsley T, Hyseni L, Johar G, Keely E, Burns KK, Kuziemsky C, Laplante J, Mihan A, Oppenheimer L, Sturge D, Tuot DS, Liddy C. Key factors for national spread and scale-up of an eConsult innovation. 2020. PMID: 32493357

  16. Liddy C, Hauteclocque J, Moroz I, Oppenheimer L, Sturge D, Burns KK, Horsley T, Tuot D, Keely E. Enabling patient-centred policy for electronic consultations: A qualitative analysis of discussions from a stakeholder meeting. 2020. PMID: 32486888

  17. Shieu M, Morgenstern H, Bragg-Gresham J, Gillespie BW, Shamim-Uzzaman QA, Tuot D, Saydah S, Rolka D, Burrows NR, Powe NR, Saran R, Centers for Disease Control and Prevention Chronic Kidney Disease Surveillance Team. US Trends in Prevalence of Sleep Problems and Associations with Chronic Kidney Disease and Mortality. 2020. PMID: 35368590

  18. Tummalapalli SL, Vittinghoff E, Crews DC, Cushman M, Gutiérrez OM, Judd SE, Kramer HJ, Peralta CA, Tuot DS, Shlipak MG, Estrella MM. Chronic Kidney Disease Awareness and Longitudinal Health Outcomes: Results from the REasons for Geographic And Racial Differences in Stroke Study. 2020. PMID: 32349001

  19. Chu CD, McCulloch CE, Banerjee T, Pavkov ME, Burrows NR, Gillespie BW, Saran R, Shlipak MG, Powe NR, Tuot DS. CKD Awareness Among US Adults by Future Risk of Kidney Failure. 2020. PMID: 32305206

  20. Novick TK, Han D, Tuot DS, Jacobs EA, Zonderman A, Evans MK, Crews DC. Housing Instability and Health Care Engagement Among People With CKD. 2020. PMID: 32734256

  21. Peralta CA, Frigaard M, Rolon L, Seal K, Tuot D, Senyak J, Lo L, Powe N, Scherzer R, Chao S, Chiao P, Lui K, Shlipak MG, Rubinsky AD. Screening for CKD To Improve Processes of Care among Nondiabetic Veterans with Hypertension: A Pragmatic Cluster-Randomized Trial. 2020. PMID: 32034070

  22. Knox M, Murphy EJ, Leslie T, Wick R, Tuot DS. e-Consult implementation success: lessons from 5 county-based delivery systems. 2020. PMID: 31951363

  23. 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

  24. 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:

  25. 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

  26. 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

  27. 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

  28. Tuot DS, Wong KK, Velasquez A, Crews DC, Zonderman AB, Evans MK, Powe NR. CKD Awareness in the General Population: Performance of CKD-Specific Questions. 2019. PMID: 32734184

  29. Fontil V, Radcliffe K, Lyson HC, Ratanawongsa N, Lyles C, Tuot D, Yuen K, Sarkar U. Testing and improving the acceptability of a web-based platform for collective intelligence to improve diagnostic accuracy in primary care clinics. 2019. PMID: 31984344

  30. 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

  31. 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

  32. 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

  33. 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

  34. 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

  35. 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

  36. 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

  37. 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

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

  39. 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

  40. 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

  41. 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

  42. 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

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

  44. 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

  45. 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

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

  47. 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

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

  49. 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

  50. 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

  51. 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

  52. 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:

  53. 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

  54. 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

  55. 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

  56. 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

  57. 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

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

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

  60. 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

  61. 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

  62. 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

  63. 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

  64. 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

  65. 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

  66. 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

  67. 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:

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

  69. 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

  70. 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

  71. 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

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

  73. 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

  74. 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

  75. 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

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

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

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

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

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

  81. 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

  82. 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