Identifying patients with chronic kidney disease from general practice computer records

Simon de Lusignan, Tom Chan, Paul Stevens, Donal O'Donoghue, Nigel Hague, Billy Dzregah, Jeremy Van Vlymen, Mel Walker, Sean Hilton

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Background. Chronic kidney disease (CKD) is an important predictor of end-stage renal disease, as well as a marker of increased mortality. The New Opportunities for Early Renal Intervention by Computerised Assessment (NEOERICA) project aimed to assess whether people with undiagnosed CKD who might benefit from early intervention could be identified from GP computer records. Methods. The simplified Modification of Diet in Renal Disease (MDRD) equation was used to estimate glomerular filtration rate (GFR) and determine stage of CKD in patients from 12 practices in Surrey, Kent and Greater Manchester with SCr recorded in their notes. Further data were extracted on associated co-morbidities and potentially modifiable risk factors. Results. One quarter (25.7%; 28 862/112 215) had an SCr recorded and one in five (18.9%) of them had a GFR
    Original languageEnglish
    Pages (from-to)234-241
    Number of pages7
    JournalFamily practice
    Volume22
    Issue number3
    DOIs
    Publication statusPublished - Jun 2005

    Keywords

    • Chronic kidney disease
    • Computerised medical record
    • General practice
    • Glomerular filtration rate
    • Serum creatinine

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