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Clinical and Experimental Nephrology
Erschienen in: Clinical and Experimental Nephrology 2/2010

01.04.2010 | Original Article

Chronic kidney disease management in an academic internal medicine clinic

verfasst von: Benjamin D. Morrow, Ian J. Stewart, Eric W. Barnes, Casey L. Cotant

Erschienen in: Clinical and Experimental Nephrology | Ausgabe 2/2010

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Abstract

Objective

We sought to evaluate the current state of chronic kidney disease (CKD) management in our academic internal medicine clinic.

Methods

A retrospective review was carried out involving all patients with laboratory evidence of CKD enrolled in our clinic. We evaluated the rate of CKD recognition as well as compliance with standard guidelines. We further subdivided our results based on physician training level, presence of diabetes, recognition of CKD, age, and race.

Results

Factors that significantly improved recognition and treatment of CKD in our study included presence of diabetes (p < 0.001), black race (p = 0.013), younger age (p = 0.004), and treatment by a resident physician (p = 0.009). Recognition of stage 3 CKD was associated with significant increases in urine protein analysis (p < 0.001) and nephrology consultation (p < 0.001).

Conclusion

Chronic kidney disease remains under-recognized and undertreated despite well-publicized guidelines and widespread use of routine eGFR reporting.
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Metadaten
Titel
Chronic kidney disease management in an academic internal medicine clinic
verfasst von
Benjamin D. Morrow
Ian J. Stewart
Eric W. Barnes
Casey L. Cotant
Publikationsdatum
01.04.2010
Verlag
Springer Japan
Erschienen in
Clinical and Experimental Nephrology / Ausgabe 2/2010
Print ISSN: 1342-1751
Elektronische ISSN: 1437-7799
DOI
https://doi.org/10.1007/s10157-009-0247-6

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