Key result
Survey finds ~55% of Indian physicians target BP under 130/80 mmHg in hypertensive CKD.
Why the study?
Hypertension is a major modifiable risk factor for CKD, and variations in physician practices regarding BP control and renal monitoring may influence CKD outcomes. This survey evaluated real-world physician practices for managing hypertension in patients at risk of CKD across India.
Cross-Sectional (n=4,400)
Yes
This nationwide survey of 4,400 Indian physicians demonstrates moderate alignment with contemporary guidelines for managing hypertension in chronic kidney disease, while highlighting substantial clinical variation in blood pressure targets and renal monitoring schedules.
Answers are grounded in this paper and cite their sources.
Reveals variation in hypertension management practices among Indian physicians; leaves open the need for implementation research before changing care.
Hypertension is a major modifiable risk factor for chronic kidney disease (CKD), and variations in physician practices related to blood pressure (BP) control and renal monitoring may influence CKD outcomes. This nationwide, cross-sectional survey evaluated real-world physician practices for managing hypertension in patients at risk of CKD across India using a structured questionnaire assessing BP targets, renal function monitoring, renoprotective therapy, physician perceptions, and barriers to CKD management. Approximately 4,400 physicians participated. A BP target of <130/80 mmHg was reported by 54.5% of respondents, while an annual estimated glomerular filtration rate decline of 5–10 mL/min/1.73 m² was the most frequently reported (47.6%). Renal function was most commonly monitored every three months (42.4%), and proteinuria was the leading indication for intensified monitoring (43.9%). Angiotensin receptor blockers were the preferred renoprotective therapy (30.4%). Most physicians perceived a moderate (42.5%) or strong (41.9%) association between BP control and preservation of kidney function. Cardiovascular events were the most frequently reported complication (34.3%), while limited patient awareness and restricted access to nephrology services were identified as the principal barriers to optimal care. Overall, physician-reported practices were broadly consistent with contemporary recommendations for hypertension management in patients at risk of CKD; however, variations in monitoring practices highlight opportunities to standardize care and improve access to nephrology services.
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Arif Ahmed Faruqui (2026) conducted a cross-sectional in Hypertension and Chronic Kidney Disease (n=4,400). Physician hypertension and CKD management practices was evaluated on Physician-reported blood pressure target of <130/80 mmHg in hypertensive patients with declining eGFR. Among 4,400 Indian physicians, 54.5% targeted a blood pressure of <130/80 mmHg, 42.4% monitored renal function every 3 months, and 30.4% preferred ARBs for renoprotection in hypertensive CKD.
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