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[Perspective of General Practitioners on Management of Non-dialysis Chronic Kidney Disease - a Qualitative Study]
Annekathrin Haase1, Sylvia Stracke2,3, Jean-François Chenot1
1Abteilung Allgemeinmedizin, Institut für Community Medicine, Universitätsmedizin Greifswald.
Insights
German General Practitioners (GPs) manage Chronic Kidney Disease (CKD) by optimizing underlying conditions, adjusting medications, and consulting specialists. Their approach to CKD patient care is individualized, considering factors like patient age and comorbidities.
Area of Science:
- Nephrology
- General Practice
- Public Health
Background:
- Chronic Kidney Disease (CKD) is prevalent in older adults, often linked to diabetes and hypertension.
- CKD typically has a prolonged asymptomatic phase, with a minority progressing to end-stage renal disease.
- General Practitioners (GPs) are the primary managers of CKD patients.
Purpose of the Study:
- To explore German GPs' perspectives on managing non-dialysis Chronic Kidney Disease.
- To understand the factors influencing GP decision-making in CKD patient care.
Main Methods:
- Qualitative study involving 5 focus group discussions with 22 GPs.
- Data collected through recorded discussions, transcribed, and analyzed using content analysis.
Main Results:
- Key management strategies include optimizing causative diseases, medication adjustments, and nephrologist referrals.
- GPs emphasize individualized patient management for CKD.
- Treatment decisions are influenced by patient-specific factors like advanced age and multimorbidity.
Conclusions:
- GPs tailor CKD management based on individual patient characteristics.
- The study highlights the importance of a personalized approach in non-dialysis CKD care by primary care physicians.
Background:
Chronic Kidney Disease (CKD) is a common diagnosis in older age due to age dependent kidney function decline, as well as an increase in causative diseases like diabetes mellitus and arterial hypertension. The condition knows a long asymptomatic phase in the early stages, and only a small part of the patient will progress to end stage renal disease requiring renal replacement therapy. Patients with CKD are generally managed by General Practitioners (GPs).
Objectives:
The aim of the study was to evaluate the perspectives of German GPs on management of patients with non-dialysis CKD.
Methods:
There were 5 focus group discussions with a maximum of 5 GPs (n = 22). The material was recorded and transcribed to be analyzed by content analysis.
Results:
The most important treatment measures at the CKD were the optimization of causative diseases, medication adjustment and referral for nephrologist consultation. GPs stressed the individual management of their CKD patients.
Conclusion:
GPs reported that their decisions about CKD management were based on Individual patient factors such as high age or multimorbidity.
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