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    The profile of patients with chronic kidney disease who regularly present at an Australian general practice

    Access Status
    Fulltext not available
    Authors
    Jiwa, M.
    Chakera, Aron
    Dadich, A.
    Meng, X.
    Kanjo, E.
    Date
    2015
    Type
    Journal Article
    
    Metadata
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    Citation
    Jiwa, M. and Chakera, A. and Dadich, A. and Meng, X. and Kanjo, E. 2015. The profile of patients with chronic kidney disease who regularly present at an Australian general practice. Current Medical Research and Opinion: pp. 1-7.
    Source Title
    Current Medical Research and Opinion
    DOI
    10.1185/03007995.2015.1109505
    ISSN
    0300-7995
    School
    Curtin Medical School
    URI
    http://hdl.handle.net/20.500.11937/14147
    Collection
    • Curtin Research Publications
    Abstract

    © 2015 Taylor & Francis Background: Chronic kidney disease (CKD) is a common, serious and mostly asymptomatic condition that places considerable burden on the Australian healthcare system. Yet there is limited information on the patients with CKD who present to Australian primary care services, which represent the gateway to specialized care. Methods: Data pertaining to 31,897 patients who presented to a general practice in Western Australia, from 1 January 2013 to 30 June 2014 (inclusive), were extracted for review. Data included attendance records, comorbidities, diagnoses, and demographic details. Binary logistic regression was used to compare patients diagnosed with CKD by the consulting general practitioner with those without this diagnosis. Results: Of the 8629 patients who regularly attended the practice, 184 (2%) were diagnosed with CKD (mean age: 77.7 years; male: 57.1%). The stage of CKD was recorded in only 8.4% of cases. Patients with CKD averaged 11 more consultations in the past 18 months (mean difference 10.8, 95% CI [9.3, 12.3], p?<?.001). They were also more likely to: be male; be ex-smokers; be widowed; and to have a carer. Their most common comorbidities included acute infections, cerebrovascular or ischemic heart disease, osteopenia or osteoporosis, and cancer; 8.7% had died within the previous year. Conclusions: Despite the prevalence of CKD, only one in five cases were recorded within this large practice. This reveals lost opportunities to monitor and manage patients with this chronic and common disease. Although this represents an important finding, this study is limited by the reliance on practice records, some of which were incomplete. Nevertheless, this study reveals two key findings. First, this disease is under-diagnosed and/or under-recorded. Second, patients with CKD have other, potentially unrelated, problems that may warrant attention.

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