| Associations between access to care and awareness of CKD. | |
| | |
MedLine Citation:
|
PMID: 22339898 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Most individuals with chronic kidney disease (CKD) in the United States are unaware of their condition, creating challenges in implementing early interventions to delay disease progression. Whether characteristics expected to enhance health care access are associated with greater CKD awareness has not been studied adequately. METHOD: Data from volunteer participants in the National Kidney Foundation's Kidney Early Evaluation Program (KEEP), 2000-2010, with presumed CKD (estimated glomerular filtration rate [eGFR] <60 mL/min/1.73 m(2) or albumin-creatinine ratio >30 mg/g) were analyzed. Given that the diagnosis of CKD was based on a single measurement of kidney function, the diagnosis is presumed, but not confirmed. Associations of CKD awareness with measures of access to care (health insurance coverage, type of health insurance, prescription drug coverage, and self-reported level of difficulty obtaining care) were examined using logistic regression. RESULTS: Of 29,144 participants with CKD, 6,751 (23%) reported CKD awareness. No significant association was found between availability of health insurance or prescription drug coverage and CKD awareness; results did not vary by diabetic status or in analyses restricted to participants with eGFR <60 mL/min/1.73 m(2). Participants reporting extreme or some difficulty obtaining medical care were more likely than those reporting no difficulty to be aware of CKD (adjusted OR, 1.25; 95% CI, 1.05-1.50). CONCLUSIONS: Most KEEP participants with CKD are unaware of the condition, results that are not modified by the availability of health insurance or prescription drug coverage. The mechanisms underlying the association of perceived difficulty in access to care with greater CKD awareness require further study. |
| | |
Authors:
|
Anuja Shah; Linda F Fried; Shu-Cheng Chen; Yang Qiu; Suying Li; Kerri L Cavanaugh; Keith C Norris; Adam T Whaley-Connell; Peter A McCullough; Rajnish Mehrotra; |
Related Documents
:
|
22538178 - Adolescence: a foundation for future health. 22904688 - Educating enough competent health professionals: advancing educational innovation at mu... 22624108 - Paradoxes in self-evaluated health data in a developing country. 22904468 - Ps2-02: reducing higher prevalence of diabetes mellitus among south asian populations i... 8852968 - Spread of serious disease-producing m3 clones of group a streptococcus among family mem... 10122938 - Universal access in canada. questions of equity remain. |
Publication Detail:
|
Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
|
Title: American journal of kidney diseases : the official journal of the National Kidney Foundation Volume: 59 ISSN: 1523-6838 ISO Abbreviation: Am. J. Kidney Dis. Publication Date: 2012 Mar |
Date Detail:
|
Created Date: 2012-02-20 Completed Date: 2012-04-23 Revised Date: 2013-05-07 |
Medline Journal Info:
|
Nlm Unique ID: 8110075 Medline TA: Am J Kidney Dis Country: United States |
Other Details:
|
Languages: eng Pagination: S16-23 Citation Subset: IM |
Copyright Information:
|
Published by Elsevier Inc. |
Affiliation:
|
Los Angeles Biomedical Research Institute at Harbor-UCLA, Torrance, CA 90502, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Chronic Disease Diagnostic Self Evaluation Female Health Knowledge, Attitudes, Practice* Health Services Accessibility / statistics & numerical data* Humans Kidney Diseases / diagnosis* Male Middle Aged |
| Grant Support | |
ID/Acronym/Agency:
|
DK K23080952/DK/NIDDK NIH HHS; K23 DK080952/DK/NIDDK NIH HHS; MD000182/MD/NIMHD NIH HHS; P20 MD000182/MD/NIMHD NIH HHS; P30 AG021684/AG/NIA NIH HHS; R03 AG040638/AG/NIA NIH HHS; R03AG040638-01/AG/NIA NIH HHS; R21 DK077341/DK/NIDDK NIH HHS; R21 DK077341/DK/NIDDK NIH HHS; RR026138/RR/NCRR NIH HHS; U54 MD007598/MD/NIMHD NIH HHS; UL1 TR000124/TR/NCATS NIH HHS |
| Investigator | |
Investigator/Affiliation:
|
Peter A McCullough / ; Adam T Whaley-Connell / ; Andrew Bomback / ; Kerri Cavanaugh / ; Linda Fried / ; Claudine Jurkovitz / ; Mikhail Kosiborod / ; Samy McFarlane / ; Rajnish Mehrotr / ; Keith Norris / ; Rulan Savita Parekh / ; Carmen A Peralta / ; Georges Saab / ; Stephen Seliger / ; Michael Shlipak / ; Lesley Inker / ; Manjula Kurella Tamura / ; John Wang / ; Bryan Becker / ; Allan Collins / ; Nilka Ríos Burrows / ; Lynda A Szczech / ; Joseph Vasssalott / ; George Bakris / ; Wendy Brown / ; Shu-Cheng Chen / |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: BK viremia in critically ill surgical patients with hemorrhagic or septic shock.
Next Document: Physician utilization, risk-factor control, and CKD progression among participants in the Kidney Ear...