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[Occult renal disease and drug prescription in primary care]

José María Peña Porta1, Meliton Blasco Oliete, Carmen Vicente de Vera Floristan

  • 1Unidad de Nefrología, Hospital de Barbastro, Huesca, España. porta@hispavista.com

Atencion Primaria
|May 27, 2009
PubMed

Insights

Chronic kidney disease (CKD) affects over 21% of elderly patients, with occult kidney disease (OKD) impacting 10%. Early GFR estimation in primary care can prevent adverse drug effects in this population.

Area of Science:

  • Nephrology
  • Geriatrics
  • Primary Care Medicine

Context:

  • Chronic kidney disease (CKD) and occult kidney disease (OKD) are significant health concerns in the elderly population.
  • Primary care settings play a crucial role in managing chronic conditions in older adults.

Purpose:

  • To determine the prevalence of CKD (defined by estimated glomerular filtration rate [eGFR] <60ml/min/1.73m(2)) and OKD (normal serum creatinine with eGFR <60) in patients over 65 years.
  • To assess the prescription patterns of potentially nephrotoxic drugs in this demographic.

Summary:

  • A retrospective study of 3286 elderly patients (age >65) in Spain revealed a 21.2% prevalence of CKD and 10.1% prevalence of OKD.
  • A significant proportion of patients received potentially nephrotoxic medications, including NSAIDs and drugs causing hyperkalemia.

Impact:

  • Highlights the high burden of kidney disease in the elderly primary care population.
  • Emphasizes the importance of routine GFR estimation for preventing adverse drug events and improving patient outcomes.
Abstract

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