| Chronic kidney disease management in an academic internal medicine clinic. | |
| | |
MedLine Citation:
|
PMID: 20024594 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: We sought to evaluate the current state of chronic kidney disease (CKD) management in our academic internal medicine clinic. METHODS: A retrospective review was carried out involving all patients with laboratory evidence of CKD enrolled in our clinic. We evaluated the rate of CKD recognition as well as compliance with standard guidelines. We further subdivided our results based on physician training level, presence of diabetes, recognition of CKD, age, and race. RESULTS: Factors that significantly improved recognition and treatment of CKD in our study included presence of diabetes (p < 0.001), black race (p = 0.013), younger age (p = 0.004), and treatment by a resident physician (p = 0.009). Recognition of stage 3 CKD was associated with significant increases in urine protein analysis (p < 0.001) and nephrology consultation (p < 0.001). CONCLUSION: Chronic kidney disease remains under-recognized and undertreated despite well-publicized guidelines and widespread use of routine eGFR reporting. |
| | |
Authors:
|
Benjamin D Morrow; Ian J Stewart; Eric W Barnes; Casey L Cotant |
Related Documents
:
|
10530304 - Did osler suffer from "paranoia antitherapeuticum baltimorensis"? a comparative content... 1119774 - The american board of internal medicine recertification examination: process and results. 10627974 - The u.s. model of internal medicine in and outside the hospital. 10973104 - Current international trends in severe acute brain trauma. 14965884 - Making licensed venues safer for patrons: what environmental factors should be the focu... 10310874 - Radiologists mobilize against drgs. |
Publication Detail:
|
Type: Journal Article Date: 2009-12-19 |
Journal Detail:
|
Title: Clinical and experimental nephrology Volume: 14 ISSN: 1437-7799 ISO Abbreviation: Clin. Exp. Nephrol. Publication Date: 2010 Apr |
Date Detail:
|
Created Date: 2010-04-05 Completed Date: 2010-06-21 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9709923 Medline TA: Clin Exp Nephrol Country: Japan |
Other Details:
|
Languages: eng Pagination: 137-43 Citation Subset: IM |
Affiliation:
|
Department of Medicine, Wilford Hall Medical Center, Lackland AFB, TX 78236, USA. Benjamin.morrow@lackland.af.mil |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Academic Medical Centers* Aged Aged, 80 and over Ambulatory Care Facilities Angiotensin II Type 1 Receptor Blockers / therapeutic use Angiotensin-Converting Enzyme Inhibitors / therapeutic use Coronary Artery Disease / complications Diabetes Complications Disease Management* Female Guideline Adherence Humans Hypertension / complications Internal Medicine Internship and Residency Kidney Failure, Chronic / diagnosis, drug therapy* Male Physician's Practice Patterns / statistics & numerical data Practice Guidelines as Topic Referral and Consultation Renal Insufficiency, Chronic / diagnosis, drug therapy* Retrospective Studies |
| Chemical | |
Reg. No./Substance:
|
0/Angiotensin II Type 1 Receptor Blockers; 0/Angiotensin-Converting Enzyme Inhibitors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: A retrospective overview of treatment choice and outcome in 126 cases with arrested eruption of mand...
Next Document: From nature versus nurture, via nature and nurture, to gene x environment interaction in mental diso...