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Albuminuria testing rates in people with diabetes, Victoria, 2022-2024: analysis of a pathology dataset
Samuel F McCormick1, Glenn M Ward1,2,3, Christina M Trambas2
1Department of Endocrinology & Diabetes, St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.
Abstract:
Urinary albumin measurement is vital in the screening and monitoring of diabetic kidney disease, but is substantially under-performed. We analysed pathology data from St Vincent's Pathology, Melbourne, between 2022 and 2024 to assess urinary albumin-creatinine ratio (ACR) testing rates in diabetes. Among 19 198 adults, only 23.7% had ≥1 ACR value recorded. Testing increased with risk markers (age, male sex, high hemoglobin A1c, low estimated glomerular filtration rate) but remained low, underscoring significant screening and monitoring gaps.
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