First-time diagnosis and referral practices for individuals with CKD by primary care physicians: a study of electronic medical records across multiple clinics in Japan
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.
View abstract on PubMed
Summary
This summary is machine-generated.Chronic kidney disease (CKD) is underdiagnosed and under-referred in Japanese primary care. Over 98% of diagnosed CKD patients lacked a diagnosis code, and 89.7% of eligible patients were not referred, indicating a need for improved detection.
Area Of Science
- Nephrology
- Public Health
- Primary Care Medicine
Background
- Chronic kidney disease (CKD) poses a significant public health challenge in Japan.
- Primary care physicians (PCPs) are crucial for early CKD diagnosis and management, yet their role is not well-documented.
Purpose Of The Study
- To investigate the extent of CKD diagnosis and referral within Japanese primary care settings.
- To assess the adherence to the Japanese Clinical Practice Guideline for CKD.
Main Methods
- Observational study using the Japan Medical Data Survey (JAMDAS) database (January 2017-September 2023).
- Analysis of individuals undergoing CKD diagnostic tests.
- Primary outcome: proportion of CKD patients without a diagnosis code; secondary outcomes: time to diagnosis and referral.
Main Results
- 15.4% of 1,188,543 individuals met CKD criteria, predominantly with stage 3a CKD (71.8%).
- Over 98% of individuals meeting CKD criteria did not receive a diagnosis code within 90 days.
- 89.7% of referrable CKD patients did not receive a referral within 90 days.
Conclusions
- CKD appears to be significantly underdiagnosed and under-referred in Japanese primary care.
- There is a critical need to enhance CKD detection and diagnosis in line with clinical guidelines.
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.
Related Concept Videos
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
• Adult screening for blood pressure, cholesterol, and diabetes
• Cancer screenings such as colonoscopies and...
The kidneys are intricate organs with millions of working units known as nephrons. Each nephron features two major structures: the renal corpuscle, which facilitates blood plasma filtration, and the renal tubule, which handles the glomerular filtrate. Blood supply is directly linked to the nephrons. The renal corpuscle consists of the glomerulus, a capillary network, and the Bowman's capsule, a double-walled epithelial structure that encases the glomerulus. The filtering of blood plasma...
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
The renin-aldosterone system is an endocrine system which guides the renal absorption of water and electrolytes, thus managing blood pressure and osmoregulation. Activation of the system begins in the kidneys with a small cluster of cells adjacent to the afferent and efferent blood vessels of the renal corpuscle. As the nephrons are filtering blood, juxtaglomerular cells monitor blood pressure. If they detect a decrease in pressure, they release the hormone renin into the bloodstream.