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[Kidney care indicator set for measuring kidney care in primary care in Switzerland]
Levy Jäger1, Leander Muheim2, Christian Häuptle3
1Institut für Hausarztmedizin, Universität Zürich, Zürich.
Introduction:
Chronic kidney disease (CKD) is a significant but often underdiagnosed and undertreated condition. Based on the recommendations of the Swiss Society of Nephrology (SSN) and Kidney Disease: Improving Global Outcomes (KDIGO), an evidence-based set of 12 indicators was developed to map the quality of care for at-risk groups and those affected by CKD with regard to processes and target achievement related to kidney health. This set of indicators was tested on a large dataset of routine primary care data, revealing highly heterogeneous results, with some high compliance rates ranging from a median of 86.8 % for non-prescription of NSAID to 18.3 % for eGFR and albuminuria assessment in patients with arterial hypertension. Overall, it was shown that the present set of indicators represents a pragmatic, evidence-based and easily applicable template to depict the quality of kidney care of patients at risk or affected by CKD.
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