Chronic kidney disease in general practice: prevalence, diagnosis, and standards of care
| Autor: | L G, Glynn, J, Anderson, D, Reddan, A W, Murphy |
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| Rok vydání: | 2009 |
| Předmět: |
Male
Analysis of Variance Primary Health Care Age Factors Angiotensin-Converting Enzyme Inhibitors Benchmarking Cross-Sectional Studies Risk Factors Prevalence Humans Kidney Failure Chronic Female Angiotensin II Type 1 Receptor Blockers Ireland Antihypertensive Agents Aged Glomerular Filtration Rate |
| Zdroj: | Irish medical journal. 102(9) |
| ISSN: | 0332-3102 |
| Popis: | There is little prevalence data for chronic kidney disease (CKD) in Ireland and it has been suggested that rates of diagnosis of CKD in primary care are low. The aim of this cross sectional study was to examine the prevalence, diagnosis and standards of care for CKD. All patient records in three general practices in the West of Ireland were reviewed. In 2602 patients50 years in the community, 435 (16.7%) had chronic kidney disease defined as eGFR60 ml/min/1.73 m2. Of these 435 individuals, only 58 (13.3%) had a diagnosis of CKD documented in their patient record. Among all patients with an eGFR60 ml/min/1.73 m2, those with a documented diagnosis of CKD were significantly more likely to be prescribed an ACE/ARB and a lipid-lowering agent and were more likely to have had an ACR/PCR checked in the previous twelve months. Blood pressure was being appropriately monitored in the majority of patients but irrespective of eGFR level or a documented diagnosis of CKD, less than a fifth of patients had achieved a target of130/80 mmHg. CKD is common in primary care but remains largely undiagnosed and blood pressure control remains suboptimal. A key step in improving care appears to be documenting the diagnosis which in turn appears to lead to improved standards of care and risk factor management. |
| Databáze: | OpenAIRE |
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