ArticleIndian journal of nephrology2013
General practitioners' knowledge and approach to chronic kidney disease in Karachi, Pakistan.
Article in Indian journal of nephrology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed, 19 citations in OpenAlex.
- Primary Care Physicians' Knowledge and Self-Perceived Competence Regarding Chronic Kidney Disease Management in Jazan Province, Saudi Arabia: A Questionnaire-Based Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
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- Lived realities of symptom burden among haemodialysis patients: a phenomenological study from rural Pakistan.BMJ open · 2025Article
- Exploring Primary Care Providers' Confidence in Managing Chronic Kidney Disease: A Cross-Sectional Study in Saudi Arabia.International journal of nephrology and renovascular disease · 2025Article
- Knowledge and Competence Regarding the Management of Chronic Kidney Disease among Family Medicine Professionals in the Eastern Province of Saudi Arabia: A Cross-Sectional Study.International journal of environmental research and public health · 2024Article
- Article
- Patient and health care provider knowledge of diabetes and diabetic microvascular complications: a comprehensive literature review.Reviews in endocrine & metabolic disorders · 2023Review
- Review
- Assessment of primary care physicians' knowledge of chronic kidney disease in Poland.Frontiers in public health · 2022Article
- Dialysis Decision Making and Preferences for End-of-Life Care: Perspectives of Pakistani Patients Receiving Maintenance Dialysis.Journal of pain and symptom management · 2020Article
- Knowledge of physicians on chronic kidney disease and their attitudes towards referral, in two cities of Cameroon: a cross-sectional study.BMC research notes · 2016Article
- Knowledge and competence of primary healthcare physicians in the management of diabetes-related chronic kidney disease.Journal of family & community medicineArticle
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7 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
Due to lack of adequate number of formally trained nephrologists, many patients with chronic kidney disease (CKD) are seen by general practitioners (GPs). This study was designed to assess the knowledge of the GPs regarding identification of CKD and its risk factors, and evaluation and management of risk factors as well as complications of CKD. We conducted a cross-sectional survey of 232 randomly selected GPs from Karachi during 2011. Data were collected on a structured questionnaire based on the kidney disease outcomes and quality initiative recommendations on screening, diagnosis, and management of CKD. A total of 235 GPs were approached, and 232 consented to participate. Mean age was 38.5 ± 11.26 years; 56.5% were men. Most of the GPs knew the traditional risk factors for CKD, i.e., diabetes (88.4%) and hypertension (80%), but were less aware of other risk factors. Only 38% GPs were aware of estimated glomerular filtration rate in evaluation of patients with CKD. Only 61.6% GPs recognized CKD as a risk factor for cardiovascular disease. About 40% and 29% GPs knew the correct goal systolic and diastolic blood pressure, respectively. In all, 41% GPs did not know when to refer the patient to a nephrologist. Our survey identified specific gaps in knowledge and approach of GPs regarding diagnosis and management of CKD. Educational efforts are needed to increase awareness of clinical practice guidelines and recommendations for patients with CKD among GPs, which may improve management and clinical outcomes of this population.
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