UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

The National CKD Audit: a primary care condition that deserves more attention

Hull, SA; Nitsch, D; Caplin, B; Griffith, K; Wheeler, DC; (2018) The National CKD Audit: a primary care condition that deserves more attention. [Editorial comment]. British Journal of General Practice , 68 (673) pp. 356-357. 10.3399/bjgp18X697997. Green open access

[thumbnail of Hull_National_CKD_Audit.pdf]
Preview
Text
Hull_National_CKD_Audit.pdf - Accepted Version

Download (436kB) | Preview

Abstract

Chronic kidney disease (CKD) is a common condition, with an estimated prevalence in the UK of around 5–7%, and a GP recorded prevalence in the England Quality and Outcomes Framework (QOF) in 2017 of 4.1%,3 which is higher than the prevalence of coronary heart disease. The majority of people with CKD are detected and managed in primary care rather than by kidney specialists. Early identification in primary care, particularly among populations with risk factors such as diabetes and hypertension, enables appropriate management of blood pressure, cardiovascular risk and lifestyle factors. There is evidence that progression of CKD can be delayed by such interventions, and that implementation of these interventions can be improved by use of quality improvement tools in primary care. However CKD as a long-term condition has not had an easy ride. Since its definition in 2002 there have been concerns about overdiagnosis, described as ‘when people without symptoms are diagnosed with a disease that ultimately will not cause them symptoms or early death’, and anxieties about the disclosure of early-stage CKD to patients, along with the work of reassurance and increased monitoring that this might entail. This debate within general practice has left some practitioners uncertain about the importance of naming, coding and managing CKD in primary care.

Type: Article
Title: The National CKD Audit: a primary care condition that deserves more attention
Open access status: An open access version is available from UCL Discovery
DOI: 10.3399/bjgp18X697997
Publisher version: https://doi.org/10.3399/bjgp18X697997
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine > Renal Medicine
URI: https://discovery.ucl.ac.uk/id/eprint/10041508
Downloads since deposit
86Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item