Chronic kidney disease referrals from general practitioners pre- And post National Institute for Health and Care Excellence guidance 2014
Authors: Arjunan, A., Jeelani, M.S., Docherty, S. and Taylor, J.
Journal: Clinical Medicine, Journal of the Royal College of Physicians of London
Volume: 19
Issue: 6
Pages: 490-493
eISSN: 1473-4893
ISSN: 1470-2118
DOI: 10.7861/clinmed.2019-0105
Abstract:Introduction Mortality from chronic kidney disease (CKD) is increasing. Most patients die from cardiovascular disease and management of cardiovascular risks is key to prevent both mortality and progression to end-stage renal disease. In 2014, the National Institute of Health and Care Excellence (NICE) introduced guidance to help general practitioners (GPs) manage CKD patients. Aim We aimed to determine the impact of the updated CKD guidance on CKD/cardiovascular risks optimisation and the timeliness of referral from the primary care. Methods All new GP referrals to the Regional Renal Service in 2012 and 2016 were analysed. Data were collected on patient age, estimated glomerular filtration rate (eGFR) at referral, blood pressure (BP), smoking, body mass index, glycated haemoglobin (HbA1c; in diabetic patients) and lipid assessment. Results A total of 486 new GP referrals were received in 2012, and 574 in 2016 (18% increase post NICE CKD guideline). Post NICE, fewer stage 4 and 5 CKD patients were being referred. But late referrals (eGFR <20 mL/min/1.73 m2) were not improved. BP control had improved. More patients had cholesterol-levels checked. The number of smokers and obese patients had not improved. Conclusion Post NICE guidelines, GPs are better in optimising BP. Diabetes management and lifestyle modifications need further improvement.
Source: Scopus
Chronic kidney disease referrals from general practitioners pre- and post National Institute for Health and Care Excellence guidance 2014.
Authors: Arjunan, A., Jeelani, M.S., Docherty, S. and Taylor, J.
Journal: Clin Med (Lond)
Volume: 19
Issue: 6
Pages: 490-493
eISSN: 1473-4893
DOI: 10.7861/clinmed.2019-0105
Abstract:INTRODUCTION: Mortality from chronic kidney disease (CKD) is increasing. Most patients die from cardiovascular disease and management of cardiovascular risks is key to prevent both mortality and progression to end-stage renal disease. In 2014, the National Institute of Health and Care Excellence (NICE) introduced guidance to help general practitioners (GPs) manage CKD patients. AIM: We aimed to determine the impact of the updated CKD guidance on CKD/cardiovascular risks optimisation and the timeliness of referral from the primary care. METHODS: All new GP referrals to the Regional Renal Service in 2012 and 2016 were analysed. Data were collected on patient age, estimated glomerular filtration rate (eGFR) at referral, blood pressure (BP), smoking, body mass index, glycated haemoglobin (HbA1c; in diabetic patients) and lipid assessment. RESULTS: A total of 486 new GP referrals were received in 2012, and 574 in 2016 (18% increase post NICE CKD guideline). Post NICE, fewer stage 4 and 5 CKD patients were being referred. But late referrals (eGFR <20 mL/min/1.73 m2) were not improved. BP control had improved. More patients had cholesterol-levels checked. The number of smokers and obese patients had not improved. CONCLUSION: Post NICE guidelines, GPs are better in optimising BP. Diabetes management and lifestyle modifications need further improvement.
Source: PubMed
Chronic kidney disease referrals from general practitioners pre- and post National Institute for Health and Care Excellence guidance 2014
Authors: Arjunan, A., Jeelani, M.S., Docherty, S. and Taylor, J.
Journal: CLINICAL MEDICINE
Volume: 19
Issue: 6
Pages: 490-493
eISSN: 1473-4893
ISSN: 1470-2118
DOI: 10.7861/clinmed.2019-0105
Source: Web of Science (Lite)
Chronic kidney disease referrals from general practitioners pre- And post National Institute for Health and Care Excellence guidance 2014
Authors: Arjunan, A., Jeelani, M.S., Docherty, S. and Taylor, J.
Journal: Clinical Medicine, Journal of the Royal College of Physicians of London
Volume: 19
Issue: 6
Pages: 490-493
eISSN: 1473-4893
ISSN: 1470-2118
DOI: 10.7861/clinmed.2019-0105
Abstract:© Royal College of Physicians 2019. All rights reserved. Introduction Mortality from chronic kidney disease (CKD) is increasing. Most patients die from cardiovascular disease and management of cardiovascular risks is key to prevent both mortality and progression to end-stage renal disease. In 2014, the National Institute of Health and Care Excellence (NICE) introduced guidance to help general practitioners (GPs) manage CKD patients. Aim We aimed to determine the impact of the updated CKD guidance on CKD/cardiovascular risks optimisation and the timeliness of referral from the primary care. Methods All new GP referrals to the Regional Renal Service in 2012 and 2016 were analysed. Data were collected on patient age, estimated glomerular filtration rate (eGFR) at referral, blood pressure (BP), smoking, body mass index, glycated haemoglobin (HbA1c; in diabetic patients) and lipid assessment. Results A total of 486 new GP referrals were received in 2012, and 574 in 2016 (18% increase post NICE CKD guideline). Post NICE, fewer stage 4 and 5 CKD patients were being referred. But late referrals (eGFR <20 mL/min/1.73 m2) were not improved. BP control had improved. More patients had cholesterol-levels checked. The number of smokers and obese patients had not improved. Conclusion Post NICE guidelines, GPs are better in optimising BP. Diabetes management and lifestyle modifications need further improvement.
Source: Manual
Preferred by: Sharon Docherty
Chronic kidney disease referrals from general practitioners pre- and post National Institute for Health and Care Excellence guidance 2014.
Authors: Arjunan, A., Jeelani, M.S., Docherty, S. and Taylor, J.
Journal: Clinical medicine (London, England)
Volume: 19
Issue: 6
Pages: 490-493
eISSN: 1473-4893
ISSN: 1470-2118
DOI: 10.7861/clinmed.2019-0105
Abstract:Introduction
Mortality from chronic kidney disease (CKD) is increasing. Most patients die from cardiovascular disease and management of cardiovascular risks is key to prevent both mortality and progression to end-stage renal disease. In 2014, the National Institute of Health and Care Excellence (NICE) introduced guidance to help general practitioners (GPs) manage CKD patients.Aim
We aimed to determine the impact of the updated CKD guidance on CKD/cardiovascular risks optimisation and the timeliness of referral from the primary care.Methods
All new GP referrals to the Regional Renal Service in 2012 and 2016 were analysed. Data were collected on patient age, estimated glomerular filtration rate (eGFR) at referral, blood pressure (BP), smoking, body mass index, glycated haemoglobin (HbA1c; in diabetic patients) and lipid assessment.Results
A total of 486 new GP referrals were received in 2012, and 574 in 2016 (18% increase post NICE CKD guideline). Post NICE, fewer stage 4 and 5 CKD patients were being referred. But late referrals (eGFR <20 mL/min/1.73 m2) were not improved. BP control had improved. More patients had cholesterol-levels checked. The number of smokers and obese patients had not improved.Conclusion
Post NICE guidelines, GPs are better in optimising BP. Diabetes management and lifestyle modifications need further improvement.Source: Europe PubMed Central