Khanam, MA and Kitsos, A and Stankovich, J and Castelino, R and Jose, M and Kinsman, L and Peterson, GM and Wimmer, BC and Zaidi, STR and Radford, J, Chronic kidney disease monitoring in Australian general practice, Australian journal of general practice, 48, (3) pp. 132-137. ISSN 2208-7958 (2019) [Refereed Article]
© The Royal Australian College of General Practitioners 2019
Official URL: https://www1.racgp.org.au/ajgp/2019/march/chronic-...
Background and objective: Kidney Health Australia recommends regular monitoring of patients with chronic kidney disease (CKD) to reduce progression and prevent complications such as cardiovascular disease. The objective of this study was to examine how practice aligns with the recommendations in Kidney Health Australia’s CKD guidelines.
Methods: Australian general practice data from the NPS MedicineWise MedicineInsight program (1 January 2013 – 1 June 2016) for 19,712 adults with laboratory evidence of stage 3 CKD were analysed. Complete monitoring in these individuals was defined as having at least one recorded assessment of blood pressure, urine albumin-to-creatinine ratio, estimated glomerular filtration rate and serum lipids over an 18-month period.
Results: Complete monitoring was performed for 25% of the cohort; 54.9% among patients with concomitant diabetes and 14.1% among patients without diabetes. Patients with diabetes, hypertension and a documented diagnosis of CKD were more likely to have complete monitoring.
Discussion: There is room for improvement in monitoring of patients with stage 3 CKD, particularly for albuminuria, which was monitored in fewer than 50% of these patients.
|Item Type:||Refereed Article|
|Keywords:||electronic health record, general practice, chronic kidney disease|
|Research Division:||Medical and Health Sciences|
|Research Group:||Clinical Sciences|
|Research Field:||Nephrology and Urology|
|Objective Group:||Clinical Health (Organs, Diseases and Abnormal Conditions)|
|Objective Field:||Urogenital System and Disorders|
|UTAS Author:||Khanam, MA (Dr Masuma Khanam)|
|UTAS Author:||Kitsos, A (Mr Alex Kitsos)|
|UTAS Author:||Stankovich, J (Dr Jim Stankovich)|
|UTAS Author:||Castelino, R (Dr Ronald Castelino)|
|UTAS Author:||Jose, M (Professor Matthew Jose)|
|UTAS Author:||Kinsman, L (Professor Leigh Kinsman)|
|UTAS Author:||Peterson, GM (Professor Gregory Peterson)|
|UTAS Author:||Wimmer, BC (Dr Barbara Wimmer)|
|UTAS Author:||Zaidi, STR (Dr Tabish Razi Zaidi)|
|UTAS Author:||Radford, J (Associate Professor Jan Radford)|
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