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Assessment of Vascular Function in Patients With Chronic Kidney Disease
08:50

Assessment of Vascular Function in Patients With Chronic Kidney Disease

Published on: June 16, 2014

Management of patients with chronic kidney disease: a French medical centre database analysis

Matthieu Ariza1, Steven Martin2, Mikaël Dusenne3

  • 1University of Picardy Jules Verne, Department of General Medicine, Amiens, France.

Family Practice
|January 28, 2023
PubMed

Insights

Chronic kidney disease (CKD) is often underscreened and undertreated in primary care. This study highlights the need for better electronic medical record (EMR) coding to improve patient management and monitoring for CKD.

Area of Science:

  • Nephrology
  • Primary Care Medicine
  • Health Informatics

Background:

  • Chronic kidney disease (CKD) is a progressive condition requiring early intervention.
  • Effective management in primary care is crucial for delaying end-stage kidney disease.
  • Current practices in CKD management and monitoring require evaluation.

Purpose of the Study:

  • To describe the clinical and biological monitoring of CKD patients in primary care.
  • To analyze prescribed treatments for CKD in a primary care setting.
  • To assess the impact of electronic medical record (EMR) coding on CKD management.

Main Methods:

  • Retrospective, single-centre study of adult patients (2012-2017).
  • Inclusion criteria: two estimated glomerular filtration rate (eGFR) measurements <60 mL/min, >3 months apart.
  • Subgroup analysis based on CKD coding in EMRs.

Main Results:

  • 291 CKD patients included (6.7% of total). Mean eGFR: 51.0 ± 16.4 mL/min.
  • Hypertension (32%) was the most common comorbidity. Nephroprotective agents prescribed in 66.7%.
  • CKD coding in EMRs correlated with specific lab monitoring (natraemia, albuminuria, vitamin D, phosphorus).

Conclusions:

  • CKD appears to be underdiagnosed and undertreated in primary care.
  • Systematic EMR coding is essential for improving CKD patient monitoring and management.
  • Further research using medical databases is recommended to enhance primary care practices.
Abstract

Keywords:
chroniccritical pathwaysdatabasediagnosticprimary health carerenal insufficiency

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