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Barriers to successful care for chronic kidney disease

, : Barriers to successful care for chronic kidney disease. Bmc Nephrology 6(): 11-11

The National Kidney Foundation has formulated clinical practice guidelines for patients with chronic kidney disease (K/DOQI). However, little is know about how many patients actually achieve these goals in a dedicated clinic for chronic kidney disease. We performed a cross-sectional analysis of 198 patients with an estimated glomerular filtration rate of less than 30 ml/min/1.73 m2 and determined whether K/DOQI goals were met for calcium, phosphate, calcium-phosphate product, parathyroid hormone, albumin, bicarbonate, hemoglobin, lipids, and blood pressure. We found that only a small number of patients achieved K/DOQI targets. Recent referral to the nephrologist, failure to attend scheduled clinic appointments, African American ethnicity, diabetes, and advanced renal failure were significant predictors of low achievement of K/DOQI goals. We conclude that raising awareness of chronic kidney disease and K/DOQI goals among primary care providers, early referral to a nephrologist, the exploration of socioeconomic barriers and cultural differences, and both patient and physician education are critical to improve CKD care in patients with Stage 4 and 5 CKD.


PMID: 16250919

DOI: 10.1186/1471-2369-6-11

Other references

Iablokov, E.G.; Kirienko, A.I.; Matiushenko, A.A., 1985: Roentgenosemeiotics of thromboembolism of the pulmonary artery. The study is based on data of radiopaque investigation of pulmonary vessels in 400 patients with pulmonary arterial thromboembolism. A retrospective assessment of noncontrast chest roentgenograms was carried out in 200 of those. Conventional pulmo...

Rabin, R.L.; Farber, J.M., 2000: Dual roles for CXCR3 in T cell activation. FASEB Journal 14(6): A1096, April 20

Guertler, C.; Schleder,; Barracco,; Perazzolo, L.M.ria, 2010: Comparative study of the intracellular superoxide anion production in different penaeid species through the NBT-reduction assay. The capacity of reactive oxygen intermediates production upon haemocyte stimulation is one of the most important immunoparameter utilized to assess the health status in cultivated shrimps. In the present study, we compared oxidative stress potenti...

Leszczyńska, K., 1990: Study of social acceptance of periodic examinations by machine industry workers. Social acceptance of periodical examinations was evaluated via a survey conducted among a group of 530 machine industry workers. A questionnaire for prophylactic examinations was used which was worked out at the Department of Epidemiology and Stat...

Shumsky, J.S.; Pietras, M.R.; Murphy, E.H.; Grayson, D.R.; Nissanov, J., 1998: High accuracy particle counter for analysis of low magnification in situ hybridization micrographs. Society for Neuroscience Abstracts 24(1-2): 1063

Willcox, T., 1977: Forward planning will produce more ratoons. In dry conditions in Australia, on heavy white schists and red volcanic soils, the sugar-cane varieties Q70, Q82 and Triton ratooned best. Q84 and Q90, and Q91, Q99 and Ragnar appeared best on average and rich soils respectively. Under wet conditi...

Swenor, B.K.; Varadaraj, V.; Dave, P.; West, S.K.; Rubin, G.S.; Ramulu, P.Y., 2017: Impact of the Ability to Divide Attention on Reading Performance in Glaucoma. To determine if the ability to divide attention affects the relationship between glaucoma-related vision loss and reading speed. Better eye mean deviation (MD), contrast sensitivity (CS), and better-eye distance visual acuity (VA) were measured in...

Knothe, W., 1967: Bronchiectases and lung abscesses. Thoraxchirurgie, Vaskulare Chirurgie 15(5): 488-498

Anniko, M.; Mendel, L., 1981: Cholesteatoma. A clinical and morphological analysis. A total of 33 consecutively operated aural cholesteatomas were analysed with regard to preoperative findings and correlated with the morphology of the cholesteatoma tissue. Patients were found in all age groups, 9/33 of the patients were operated...

Pluzhnikov, M.S., 2008: Otorhinolaryngology and technical progress. Vestnik Otorinolaringologii: 7-12