1116 Prevalence Of Chronic Kidney Disease In A Selected Primary Care Population

Brian O'Connell - Western General Practice Training Programme, Galway, Ireland
L.G. Glynn - Western General Practice Training Programme, Galway, Ireland; Lecturer in Primary Care, Department of General Practice, NUI, Galway
R. Tobin - General Practice Principal, Tobin Healthcare, Castlebar, Co. Mayo
D. Reddan - Consultant Nephrologist, Merlin Park Regional Hospital, Galway
BACKGROUND: The burden of Chronic Kidney Disease (CKD) is growing worldwide. There is also evidence that CKD is associated with an increased risk of death and of cardiovascular events. Little prevalence data exists in primary care for CKD, while it has been established that diagnosis rates and management of CKD in primary care is often sub-optimal.
METHODS: Consecutive renal profile requests over a four month period from a single primary care site were examined. Using the modified 4-variable MDRD equation, estimated Glomerular Filtration Rate (eGFR) was calculated for individual patients and the charts of these patients were reviewed where eGFR indicated stage III kidney disease or worse.
RESULTS: The 550 renal profile requests identified related to 502 individual patients after duplicates were removed. Of these patients, 76 (15.1%) were shown to have eGFR51.3% of these patients were on anti-platelet medication or warfarin, 43.4% were on a statin and 40.8% were on an ACEI/AIIR. 13.2% had a recorded urinalysis. 3.9% had urinary protein quantification and US kidneys. 5.3% of these patients were referred to Nephrology.
CONCLUSION: The prevalence of CKD Stages III-V in Primary Care is high while the rate of diagnosis is low. Cardiovascular disease is common in CKD and management is sub-optimal.
Prevalence of Chronic Kidney Disease in a selected Primary Care population