Key result
A systematic review of 90 studies representing over 33 million patients found substantial variability in primary care management of early-to-moderate CKD, including low screening rates.
Why the study?
Early-to-moderate chronic kidney disease is largely managed in primary care, but reported practices vary across settings. Understanding real-world identification and management is essential to inform improvements in care.
Population
Over 33 million patients and 3,180 healthcare professionals across 90 studies in high-income countries
Comparison
Real-world practices vs initiatives to improve early-to-moderate CKD management
Design
Systematic integrative review of quantitative, qualitative, and mixed-methods studies
Authors
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Highlights inconsistent primary care CKD practices; supports context-adapted quality improvement initiatives.
Systematic Review (n=33,000,000)
Yes
Management of early-to-moderate CKD in primary care varies considerably across high-income countries, highlighting the need for context-adapted strategies involving multidisciplinary collaboration and decision support.
Engberink et al. (2026) conducted a systematic review in Early-to-moderate chronic kidney disease (n=33,000,000). Primary care management practices and initiatives was evaluated on Management practices for early-to-moderate CKD in primary care. A systematic review of 90 studies representing over 33 million patients found substantial variability in primary care management of early-to-moderate CKD, including low screening rates.
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