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Abstract

Background and objective:Kidney Health Australia recommendsregular monitoring of patients withchronic kidney disease (CKD) toreduce progression and preventcomplications such as cardiovasculardisease. The objective of this studywas to examine how practice alignswith the recommendations in KidneyHealth Australia’s CKD guidelines.Methods:Australian general practice datafrom the NPS MedicineWiseMedicineInsight program (1 January2013 – 1 June 2016) for 19,712 adultswith laboratory evidence of stage 3CKD were analysed. Completemonitoring in these individuals wasdefined as having at least one recordedassessment of blood pressure, urinealbumin-to-creatinine ratio, estimatedglomerular filtration rate and serumlipids over an 18-month period.Results:Complete monitoring was performedfor 25% of the cohort; 54.9% amongpatients with concomitant diabetes and14.1% among patients without diabetes.Patients with diabetes, hypertensionand a documented diagnosis of CKDwere more likely to have completemonitoring.Discussion:There is room for improvement inmonitoring of patients with stage 3CKD, particularly for albuminuria, whichwas monitored in fewer than 50% ofthese patients.

Item Type:	Article
Authors/Creators:	Khanam, MA and Kitsos, A and Stankovich, J and Castelino, R and Jose, M and Kinsman, L and Peterson, GM and Wimmer, BC and Zaidi, STR and Radford, J
Keywords:	electronic health record, general practice, chronic kidney disease
Journal or Publication Title:	Australian journal of general practice
Publisher:	Royal Australian College of General Practitioners
ISSN:	2208-7958
Copyright Information:	© The Royal Australian College of General Practitioners 2019
Related URLs:	Google Scholar: Khanam, MA UTAS Profile: Khanam, MA Google Scholar: Kitsos, A UTAS Profile: Kitsos, A Google Scholar: Stankovich, J UTAS Profile: Stankovich, J UTAS Profile: Castelino, R Google Scholar: Jose, M UTAS Profile: Jose, M Google Scholar: Kinsman, L UTAS Profile: Kinsman, L UTAS Profile: Peterson, GM UTAS Profile: Wimmer, BC Google Scholar: Zaidi, STR UTAS Profile: Zaidi, STR Google Scholar: Radford, J UTAS Profile: Radford, J
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