Observational studyThe British journal of general practice : the journal of the Royal College of General Practitioners2019
Improving coding and primary care management for patients with chronic kidney disease: an observational controlled study in East London.
Observational study in The British journal of general practice : the journal of the Royal College of General Practitioners, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Global and China trends in glomerulonephritis-induced chronic kidney disease: health inequities, risk factors and projections to 2050.Renal failure · 2025Article
- The association between coding for chronic kidney disease and kidney replacement therapy incidence at CCG-level in England: an ecological study.BJGP open · 2025Article
- Coded and uncoded chronic kidney disease: an explainer.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Enhancing clinical service design for multimorbidity management: A comprehensive approach to joined-up care for diabetes, chronic kidney disease, and heart failure.Diabetic medicine : a journal of the British Diabetic Association · 2025Review
- Uncoded chronic kidney disease prevalence in secondary care: a retrospective audit with population health implications.BMC nephrology · 2025Article
- Quantifying the impact of clinical coding in chronic kidney disease on risk of death and COVID-19 death.PloS one · 2025Article
- Primary healthcare professionals' approach to clinical coding: a qualitative interview study in Wales.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Chronic kidney disease: detect, diagnose, disclose-a UK primary care perspective of barriers and enablers to effective kidney care.BMC medicine · 2024Review
- The Leicester, Leicestershire and Rutland quality improvement project and integrated chronic kidney disease system: implementation within a primary care network.BMC nephrology · 2024Article
- Global Validation of a Model to Predict Reduced Estimated GFR in People With Type 2 Diabetes Without Diagnosis of CKD.Kidney international reports · 2024Article
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- The Impact of Chronic Kidney Disease on Mid-Term Outcomes after Revascularisation of Peripheral Arterial Occlusive Disease: Results from a Prospective Cohort Study.Journal of clinical medicine · 2022Article
- Main Barriers to the Introduction of a Home Haemodialysis Programme in Poland: A Review of the Challenges for Implementation and Criteria for a Successful Programme.Journal of clinical medicine · 2022Review
- Validation of Diagnostic Coding for Diabetes Mellitus in Hospitalized Patients.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2022Article
- Hypertension and cardiovascular risk factor management in a multi-ethnic cohort of adults with CKD: a cross sectional study in general practice.Journal of nephrology · 2022Article
- Machine learning optimization of an electronic health record audit for heart failure in primary care.ESC heart failure · 2022Observational
- Acute kidney injury in patients hospitalized with COVID-19 from the ISARIC WHO CCP-UK Study: a prospective, multicentre cohort study.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2022Article
- Inequalities in CKD management can be overcome.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Article
- Uncoded chronic kidney disease in primary care: a cross-sectional study of inequalities and cardiovascular disease risk management.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Article
Corrections and comments
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Authors and funding
7 authors.
Funding
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Abstract
backgroundThe UK national chronic kidney disease (CKD) audit in primary care shows diagnostic coding in the electronic health record for CKD averages 70%, with wide practice variation. Coding is associated with improvements to risk factor management; CKD cases coded in primary care have lower rates of unplanned hospital admission.
aimTo increase diagnostic coding of CKD (stages 3-5) and primary care management, including blood pressure to target and prescription of statins to reduce cardiovascular disease risk. DESIGN AND
settingControlled, cross-sectional study in four East London clinical commissioning groups (CCGs).
methodInterventions to improve coding formed part of a larger system change to the delivery of renal services in both primary and secondary care in East London. Quarterly anonymised data on CKD coding, blood pressure values, and statin prescriptions were extracted from practice computer systems for 1-year pre- and post-initiation of the intervention.
resultsThree intervention CCGs showed significant coding improvement over a 1 year period following the intervention (regression for post-intervention trend
conclusionClinically important improvements to coding and management of CKD in primary care can be achieved by quality improvement interventions that use shared data to track and monitor change supported by practice-based facilitation. Alignment of clinical and CCG priorities and the provision of clinical targets, financial incentives, and educational resource were additional important elements of the intervention.
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