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February 14, 2026Diabetic Medicine

Chronic kidney disease in type 2 diabetes in UK primary care: Testing frequency, coding accuracy and clinical inertia

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Authors

HZH. R. ZhangNational Institute of Standards and TechnologyCSCarina ScarlataPrimary Health CareNJNihad JaleelNorthampton General Hospital

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Overview

Evaluation uncovers gaps in CKD coding and testing frequency in type 2 diabetes patients, suggesting the need for improved practices.

Key Points

  • This study aims to identify inconsistencies in CKD coding and testing in type 2 diabetes mellitus patients within primary care.
  • Conducted a retrospective cross-sectional analysis using SystmOne and the PARM Diabetes tool.
  • Screened a cohort from two primary care settings for type 2 diabetes patients with eGFR <60 mL/min/1.73 m2.
  • Evaluated CKD coding accuracy per NICE guidelines to identify gaps in testing.
  • 77.3% of patients had eGFR testing, and 37.6% had uACR testing in the past year.
  • Higher testing rates were observed in urban settings compared to rural ones.
  • Only 35% received both tests within the year, with the lowest uptake among those under 60.
  • 61% of patients with exactly two eGFR readings <60 mL/min/1.73 m2 were uncoded for CKD.

Cite This Study

Zhang et al. (2026) studied this question.

synapsesocial.com/papers/699010ce2ccff479cfe57013https://doi.org/10.1111/dme.70254
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