ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2012
Treatment needs and diagnosis awareness in primary care patients with chronic kidney disease.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.
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Who cites it
40 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Challenges and strategies for managing early-to-moderate chronic kidney disease in primary care: A systematic integrative review in high-income countries.The European journal of general practice · 2026Pooled it
- Prediction of chronic kidney disease and its progression by artificial intelligence algorithms.Journal of nephrology · 2022Pooled it
- Diagnosis and management of non-dialysis chronic kidney disease in ambulatory care: a systematic review of clinical practice guidelines.BMC nephrology · 2018Pooled it
- Awareness and Discussions About Chronic Kidney Disease Among African-Americans with Chronic Kidney Disease and Hypertension: a Mixed Methods Study.Journal of general internal medicine · 2020Trial
- Development of a questionnaire to evaluate practitioners' confidence and knowledge in primary care in managing chronic kidney disease.BMC nephrology · 2014Trial
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- Quality and content evaluation of thyroid eye disease treatment information on TikTok and Bilibili.Scientific reports · 2025Article
- The prevalence and contributing factors of NSAIDs prescription among chronic kidney disease patients in primary care: a mixed methods study from Kingdom of Bahrain.BMC primary care · 2025Article
- Reliability and Validity of Self-Reported Risk Factors for Stroke and Dementia.Journal of the American Heart Association · 2025Article
- Chronic kidney disease and the alternative labels used by GPs in Australia: a qualitative interview study.BJGP open · 2025Article
- Evolution of the population with chronic kidney disease in Spain in the context of the COVID-19 pandemic: a longitudinal retrospective study.Primary health care research & development · 2025Article
- Article
- Monitoring and management of chronic kidney disease in ambulatory care - analysis of clinical and claims data from a population-based study.BMC health services research · 2022Article
- [High patient unawareness for chronic kidney disease even in later stages - but why is it more frequent in women than in men?]Deutsche medizinische Wochenschrift (1946) · 2022Article
- Article
- A clinical audit of the diagnosis and management of chronic kidney disease in a primary care clinic.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2021Article
- High Unawareness of Chronic Kidney Disease in Germany.International journal of environmental research and public health · 2021Article
- Chronic Kidney Disease Testing Among At-Risk Adults in the U.S. Remains Low: Real-World Evidence From a National Laboratory Database.Diabetes care · 2021Article
- Treatment burden for patients with multimorbidity: cross-sectional study with exploration of a single-item measure.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Article
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4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundGPs in England are required to keep a register of patients with chronic kidney disease (CKD). National Institute for Health and Clinical Excellence (NICE) guidelines recommend regular follow-up, but patients are perceived to be low risk and not requiring active management.
aimTo assess treatment needs of CKD stage 3 patients in primary care, as well as their awareness of CKD. DESIGN AND
settingA cross-sectional analysis from a longitudinal prospective study in 32 general practices.
methodA total of 1741 participants underwent clinical assessment including urine and blood tests. Participants were asked about awareness of their CKD. Results were reviewed and a letter recommending treatment in line with NICE guidelines was sent to their GP.
resultsThe mean age of participants was 73 ± 9 years; 60% (n = 1052) were female and diabetes was present in 17%; 67% of participants required further intervention. Most required improved control of hypertension (n = 1576; 33.1% of cohort). Other recommendations included advice to investigate anaemia (n = 1142; 8.2%) or stop nephrotoxic drugs (n = 1120; 7.5%). Less than 6% of participants met NICE criteria for referral to nephrology services and 41% were unaware of their CKD diagnosis. Multivariable analysis identified subjects with formal educational qualifications, age <75 years, estimated glomerular filtration rate (eGFR) 30-44 ml/min/1.73 m(2), and significant albuminuria as more likely to be aware of their diagnosis.
conclusionThe study data show that the majority of patients required at least one intervention to improve the management of their CKD. Most interventions could be delivered in primary care and only a minority required nephrology referral. Many patients were unaware of their CKD diagnosis, and efforts should be made to improve this to facilitate involvement in their care.
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