ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2012
Understanding the management of early-stage chronic kidney disease in primary care: a qualitative study.
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 62 papers, 7 of them syntheses that pooled it.
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Who cites it
62 citing papers in PubMed, 7 syntheses or guidelines pooled it, 96 citations in OpenAlex.
- 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
- General practitioner strategies for managing patients with multimorbidity: a systematic review and thematic synthesis of qualitative research.BMC family practice · 2020Pooled it
- Barriers and enablers to detection and management of chronic kidney disease in primary healthcare: a systematic review.BMC nephrology · 2020Pooled it
- Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review.Implementation science : IS · 2018Pooled it
- Barriers to advance care planning at the end of life: an explanatory systematic review of implementation studies.PloS one · 2015Pooled it
- A qualitative systematic review of studies using the normalization process theory to research implementation processes.Implementation science : IS · 2014Pooled it
- Telephone based self-management support by 'lay health workers' and 'peer support workers' to prevent and manage vascular diseases: a systematic review and meta-analysis.BMC health services research · 2013Pooled it
- Aligning everyday life priorities with people's self-management support networks: an exploration of the work and implementation of a needs-led telephone support system.BMC health services research · 2014Trial
- Development of a questionnaire to evaluate practitioners' confidence and knowledge in primary care in managing chronic kidney disease.BMC nephrology · 2014Trial
- Trial
- 'They leave at least believing they had a part in the discussion': understanding decision aid use and patient-clinician decision-making through qualitative research.Patient education and counseling · 2013Trial
- Trial
- Chronic Kidney Disease Guideline Implementation in Primary Care: A Qualitative Report from the TRANSLATE CKD Study.Journal of the American Board of Family Medicine : JABFMTrial
- Implementing a model of integrated CKD management between primary and secondary care.Clinical kidney journal · 2026Review
- Patient Perceptions of a Population Health Management Program to Improve Kidney Care: Optimizing care in CKD.Kidney medicine · 2025Article
- Chronic kidney disease and the alternative labels used by GPs in Australia: a qualitative interview study.BJGP open · 2025Article
- Using normalisation process theory (NPT) to explore implementation of the maternal perinatal death surveillance and response (MPDSR) policy in Uganda: a reflection.Health research policy and systems · 2024Article
- General practitioners' assessment and management of chronic kidney disease in older patients- a mixed methods study.BMC primary care · 2024Article
- Exploring the factors influencing evidence-based approaches to advanced chronic kidney disease: a qualitative study involving nurses and physicians.BMC primary care · 2024Article
- Optimizing Care Delivery in Patients with Chronic Kidney Disease in the United States: Proceedings of a Multidisciplinary Roundtable Discussion and Literature Review.Journal of clinical medicine · 2024Review
2 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrimary care is recognised to have an important role in the delivery of care for people with chronic kidney disease (CKD). However, there is evidence that CKD management is currently suboptimal, with a range of practitioner concerns about its management.
aimTo explore processes underpinning the implementation of CKD management in primary care. DESIGN AND
settingQualitative study in general practices participating in a chronic kidney disease collaborative undertaken as part of the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for Greater Manchester.
methodSemi-structured interviews were conducted with GPs and practice nurses (n = 21). Normalisation Process Theory provided a framework for generation and analysis of the data.
resultsA predominant theme was anxiety about the disclosure of early-stage CKD with patients. The tensions experienced related to identifying and discussing CKD in older people and patients with stage 3A, embedding early-stage CKD within vascular care, and the distribution of work within the practice team. Participants provided accounts of work undertaken to resolve the difficulties encountered, with efforts having tended to focus on reassuring patients. Analysis also highlighted how anxiety surrounding disclosure influenced, and was shaped by, the organisation of care for people with CKD and associated long-term conditions.
conclusionOffering reassurance alone may be of limited benefit, and current management of early-stage CKD in primary care may miss opportunities to address susceptibility to kidney injury, improve self-management of vascular conditions, and improve the management of multimorbidity.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.