Barriers to successful care for chronic kidney disease

Oliver Lenz, Durga P. Mekala, Daniel V. Patel, Alessia Fornoni, David Metz, David Roth

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

Background: 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. Methods: 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. Results: 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. Conclusion: 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.

Original languageEnglish
Article number11
JournalBMC Nephrology
Volume6
DOIs
StatePublished - Oct 27 2005

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Chronic Renal Insufficiency
Referral and Consultation
Patient Education
Bicarbonates
Parathyroid Hormone
Glomerular Filtration Rate
Practice Guidelines
African Americans
Renal Insufficiency
Albumins
Primary Health Care
Patient Care
Appointments and Schedules
Hemoglobins
Cross-Sectional Studies
Blood Pressure
Physicians
Kidney
Lipids
Nephrologists

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Barriers to successful care for chronic kidney disease. / Lenz, Oliver; Mekala, Durga P.; Patel, Daniel V.; Fornoni, Alessia; Metz, David; Roth, David.

In: BMC Nephrology, Vol. 6, 11, 27.10.2005.

Research output: Contribution to journalArticle

Lenz, Oliver ; Mekala, Durga P. ; Patel, Daniel V. ; Fornoni, Alessia ; Metz, David ; Roth, David. / Barriers to successful care for chronic kidney disease. In: BMC Nephrology. 2005 ; Vol. 6.
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