Chronic Kidney Disease in Primary Care: An Opportunity for Generalists

Division of Nephrology, San Francisco General Hospital, University of California San Francisco, 1001 Potrero Ave, 5F38, San Francisco, CA, 94110, USA.
Journal of General Internal Medicine (Impact Factor: 3.42). 02/2011; 26(4):356-8. DOI: 10.1007/s11606-011-1650-8
Source: PubMed

ABSTRACT outcomes and provide some insight into PCP management of CKD. Using the Cardiovascular Health Study, Dalrymple and colleagues compare the overall risk and risk factors of ESRD, cardiovascular death, and non-cardiovascular death among older (mean age of 75 years) community-dwelling adults with moderate CKD [median estimated glomerular filtration rate (eGFR) of 53 ml/min/1.73 m²]. They corroborate previous evidence that risk of death is much more likely than progression to ESRD in older adults 21 and highlight risk factors associated with all-cause mortality. Modifiable risk factors include body mass index

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    ABSTRACT: Objective: To identify primary care providers' (PCPs) perceived barriers to educating patients about chronic kidney disease (CKD) during routine clinical visits. Methods: We conducted three focus groups of eighteen PCPs in Baltimore, Maryland (MD), USA. Focus groups began with the presentation of a hypothetical case of a patient with CKD, followed by open-ended questions to assess providers' perceived barriers to delivering education about CKD. Groups were audiotaped, transcribed and coded independently by two investigators who identified major themes. Results: PCPs reported on several patient, provider and system level barriers contributing to poor education about CKD in primary care that were both common and unique to barriers previously reported in educating patients regarding other chronic diseases. Conclusions: Interventions designed to address barriers to CKD education identified by PCPs could improve the delivery of education about CKD in primary care settings.
    Journal of Renal Care 12/2012; 38(4):174-81. DOI:10.1111/j.1755-6686.2012.00323.x


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