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Hospitalized patients frequently unaware of their chronic kidney disease

Milda R Saunders1,2, Sharon Dahei Kim1,3, Nisha Patel4

  • 1Section of Hospital Medicine, University of Chicago Medicine, Chicago, Illinois.

Journal of Hospital Medicine
|May 28, 2015
PubMed

Insights

Patient awareness of chronic kidney disease (CKD) is low among general medicine inpatients. Even with advanced CKD, many patients remain unaware, highlighting a critical gap in care and education.

Area of Science:

  • Nephrology
  • Internal Medicine
  • Patient Education

Background:

  • Chronic kidney disease (CKD) awareness is notably low in outpatient settings.
  • Limited data exists regarding CKD awareness among hospitalized patient populations.

Purpose of the Study:

  • To assess the level of CKD awareness in general medicine inpatients.
  • To identify factors associated with CKD awareness in this demographic.

Main Methods:

  • Retrospective study of 590 general medicine inpatients with non-dialysis-dependent CKD.
  • CKD awareness defined as correct patient self-report of "kidney problems".
  • Analysis included International Classification of Diseases, Ninth Revision codes and patient interviews.

Main Results:

  • Overall CKD awareness among inpatients was 32%.
  • Awareness was higher in advanced stages: 48% for stage 4 (eGFR 15-29) and 63% for stage 5 (eGFR <15).
  • Factors associated with awareness included advanced CKD stage, non-white/non-African American race, and higher Mini-Mental State Exam scores.

Conclusions:

  • CKD awareness, while increasing with disease severity, remains suboptimal in hospitalized patients.
  • Hospitalization presents a crucial opportunity for patient education and nephrology referral.
  • Improved patient understanding of CKD is essential for timely intervention and management.

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