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Association of continuity of care with blood pressure control in patients with chronic kidney disease and hypertension


Khanam, MA and Kitsos, A and Stankovich, J and Castelino, R and Jose, M and Kinsman, L and Peterson, GM and Wimmer, B and Zaidi, TR and Radford, J, Association of continuity of care with blood pressure control in patients with chronic kidney disease and hypertension, Australian Journal of General Practice, 48, (5) pp. 300-306. ISSN 0300-8495 (2019) [Refereed Article]

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Copyright 2019 The Royal Australian College of General Practitioners

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Background and objectives: 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 Details

Item Type:Refereed Article
Keywords:chronic kidney disease, hypertension, general practice, e-health records
Research Division:Biomedical and Clinical Sciences
Research Group:Clinical sciences
Research Field:Nephrology and urology
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
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, B (Dr Barbara Wimmer)
UTAS Author:Zaidi, TR (Dr Tabish Razi Zaidi)
UTAS Author:Radford, J (Associate Professor Jan Radford)
ID Code:132388
Year Published:2019
Deposited By:Medicine
Deposited On:2019-05-06
Last Modified:2020-08-07

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