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Chronic kidney disease recognition amongst physicians and advanced practice providers
Carlos R Franco Palacios1, Rudiona Hoxhaj2, Pankaj Goyal3
1Nephrology, Critical Care Medicine Department, WellStar Health System, Marietta, GA, USA.
Renal Failure
|September 10, 2021
Summary
Physicians are more likely to diagnose chronic kidney disease (CKD) than advanced practice providers. Early CKD recognition and treatment are crucial for improving patient outcomes and reducing morbidity.
Area of Science:
- Nephrology
- Public Health
- Healthcare Delivery
Background:
- Chronic kidney disease (CKD) presents a significant global health challenge with rising prevalence.
- Early diagnosis and management of CKD are critical for mitigating morbidity and mortality.
- Variations in provider comfort levels may influence CKD diagnosis rates.
Purpose of the Study:
- To investigate potential differences in the recognition of chronic kidney disease (CKD) between physicians and advanced practice providers.
- To identify factors associated with the diagnosis of CKD in an outpatient setting.
Main Methods:
- A retrospective study analyzed data from 380 patients with CKD between 2012 and 2016.
- Patient data included demographic information, glomerular filtration rate (GFR), and provider type (physician vs. advanced practice provider).
Main Results:
- Physicians diagnosed CKD in a higher proportion of patients compared to advanced practice providers (86% vs. 71.8%).
- Patients diagnosed with CKD were older and had lower GFRs.
- Care by a physician was independently associated with increased odds of CKD recognition (OR = 2.27). Higher GFR was associated with decreased diagnosis (OR = 0.95).
Conclusions:
- Physicians demonstrated higher odds of recognizing chronic kidney disease compared to non-physician providers.
- These findings suggest provider type may impact the timely diagnosis of CKD.
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