What question did this study set out to answer?

To assess the quality of chronic kidney disease care in primary care settings and evaluate associated patient and practice characteristics to guide quality improvement.

January 2, 2016Scandinavian Journal of Primary Health CareOpen Access

Quality of chronic kidney disease management in primary care: a retrospective study

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Authors

VGVincent A van Gelder NHNynke Scherpbier‐de HaanUniversity Medical Center Groningen WGW.J.C. de GrauwRadboud University Nijmegen

Discussion

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Overview

Retrospective study demonstrates substantial gaps in chronic kidney disease monitoring and recognition in primary care, suggesting structured management models could improve outcomes.

Key Points

To assess the quality of chronic kidney disease care in primary care settings and evaluate associated patient and practice characteristics to guide quality improvement.
Conducted a retrospective analysis of records between 2008 and 2011 across 47 general practices comprising 207,469 patients (162,562 adults).
Assessed quality indicators derived from the Dutch interdisciplinary CKD guideline—disease progression monitoring, metabolic parameter tracking, CKD recognition, and target blood pressure achievement—using multilevel logistic regression.
Among 8,794 patients with CKD managed in primary care, monitoring of disease progression was complete in 42%, metabolic parameter monitoring was completed in 2%, and target blood pressure was attained in 43.1%.
General practitioners documented an official CKD diagnosis in only 31.4% of patients meeting disease criteria.
Higher quality of care scores were strongly associated with comorbid diabetes, and to a lesser extent with hypertension and male sex.

Cite This Study

Gelder et al. (2016) studied this question.

synapsesocial.com/papers/6aaf853874b24cee3ca602af https://doi.org/10.3109/02813432.2015.1132885

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January 2, 2016Scandinavian Journal of Primary Health CareOpen Access

Quality of chronic kidney disease management in primary care: a retrospective study

View Full Paper

Ask AI

Bookmark

Authors

VGVincent A van Gelder NHNynke Scherpbier‐de HaanUniversity Medical Center Groningen WGW.J.C. de GrauwRadboud University Nijmegen

Discussion

Member takes

Overview

Retrospective study demonstrates substantial gaps in chronic kidney disease monitoring and recognition in primary care, suggesting structured management models could improve outcomes.

Key Points

To assess the quality of chronic kidney disease care in primary care settings and evaluate associated patient and practice characteristics to guide quality improvement.
Conducted a retrospective analysis of records between 2008 and 2011 across 47 general practices comprising 207,469 patients (162,562 adults).
Assessed quality indicators derived from the Dutch interdisciplinary CKD guideline—disease progression monitoring, metabolic parameter tracking, CKD recognition, and target blood pressure achievement—using multilevel logistic regression.
Among 8,794 patients with CKD managed in primary care, monitoring of disease progression was complete in 42%, metabolic parameter monitoring was completed in 2%, and target blood pressure was attained in 43.1%.
General practitioners documented an official CKD diagnosis in only 31.4% of patients meeting disease criteria.
Higher quality of care scores were strongly associated with comorbid diabetes, and to a lesser extent with hypertension and male sex.

Cite This Study

Gelder et al. (2016) studied this question.

synapsesocial.com/papers/6aaf853874b24cee3ca602af https://doi.org/10.3109/02813432.2015.1132885

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