Evidence map›Paper›PMID 37709350›Full record

ArticleBJGP open2024

Diagnosis codes underestimate chronic kidney disease incidence compared with eGFR-based evidence: a retrospective observational study of patients with type 2 diabetes in UK primary care.

Rose Sisk, Rory Cameron, Waqas Tahir, Camilla Sammut-Powell

Abstract read
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Article in BJGP open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Rose SiskGendius Ltd, Alderley Edge, UK rosesisk@hotmail.com.ORCID https://orcid.org/0000-0002-3354-6144
Rory CameronGendius Ltd, Alderley Edge, UK.ORCID https://orcid.org/0000-0002-4996-0649
Waqas TahirAffinity Care, National Health Service, Bradford, UK.
Camilla Sammut-PowellGendius Ltd, Alderley Edge, UK.ORCID https://orcid.org/0000-0002-5855-1492

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundType two diabetes (T2D) is a leading cause of both chronic kidney disease (CKD) and onward progression to end-stage renal disease. Timely diagnosis coding of CKD in patients with T2D could lead to improvements in quality of care and patient outcomes.

aimTo assess the consistency between estimated glomerular filtration rate (eGFR)-based evidence of CKD and CKD diagnosis coding in UK primary care. DESIGN &

settingA retrospective analysis of electronic health record data in a cohort of people with T2D from 60 primary care centres within England between 2012 and 2022.

methodWe estimated the incidence rate of CKD per 100 person-years using eGFR-based CKD and diagnosis codes. Logistic regression was applied to establish which attributes were associated with diagnosis coding. Time from eGFR-based CKD to entry of a diagnosis code was summarised using the median and interquartile range.

resultsThe overall incidence of CKD was 2.32 (95% confidence interval [CI] = 2.24 to 2.41) and significantly higher for eGFR-based criteria than diagnosis codes: 1.98 (95% CI = 1.90 to 2.05) versus 1.06 (95% CI = 1.00 to 1.11), respectively;

conclusionDiagnosis coding of patients with eGFR-based evidence of CKD in UK primary care is poor within patients with T2D, despite CKD being a well-known complication of diabetes.

Indexed as

diabetesdiagnosisprimary health carerenal insufficiency, chronicrenal medicine

Identifiers

PMID37709350
PMCPMC11169975

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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.