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How have GPs coped with CKD?(general practitioners, chronic kidney diseases)
As GPs prepare for first QOF scores on CKD, we assess how the year has gone - and cast our eye to the future
By Lilian Anekwe
Adding chronic kidney disease to the quality and outcomes framework was a controversial move and one that elicited conflicting responses among the medical profession.
While renal specialists were generally delighted with the opportunity to raise the bar on CKD care, many GPs were nervous at the prospect of having to learn a whole new disease, especially as the workload implications became clear.
Even the Department of Health concedes the introduction of eGFR reporting and inclusion in the QOF `has resulted in a significant spike in referrals to renal units', as it admits in a progress report on the renal national service framework, published earlier this month.
As GPs prepare for their first year's scores on CKD, Pulse set out to investigate how the NHS has handled the changes.
The renal experts
- CKD education: an evolving concept.(Practice Issues in Nephrology Nursing:...
- Magazine article from: Nephrology Nursing Journal Hain, Debra Calvin, Donna J. Simmons, David E., Jr. May 1, 2009 700+ words
...to people with chronic kidney disease (CKD). Education mainly focused on increasing...Outcomes Quality Initiative (K/DOQI) CKD clinical practice guidelines (see Table...chronic disease (NKF, 2002). In 2006, CKD was further identified as a public health...
- CKD increases risk for cardiovascular events.(Nephrology)(chronic kidney...
- Magazine article from: Internal Medicine News Walsh, Nancy December 15, 2008 700+ words
...who had stage 2 or 3 chronic kidney disease (CKD) with the rest of the study population. of the CKD patients, 58% had diabetes, 11% were African American, and 50% were men. CKD was defined as an estimated glomerular filtration...
- Recognizing the link between CKD and CVD in the primary care setting: accurate...
- Magazine article from: Southern Medical Journal Basile, Jan N. May 1, 2007 700+ words
Abstract: Chronic kidney disease (CKD), which is becoming increasingly prevalent...hypertension, the two leading causes of CKD, are themselves reaching near epidemic...both the development and progression of CKD, and CKD is a significant risk factor for...
- Chronic Kidney Disease (CKD) Special Interest Group (SIG) networking...
- Magazine article from: Nephrology Nursing Journal Campoy, Sally July 1, 2005 700+ words
...over 23 million persons estimated to have CKD, it is a challenge to identify persons...and to intervene earlier in the course of CKD (NIDDK, 2005). This may preserve remaining kidney function and delay progression to CKD stage 5. There are several types of CKD...
- Cardiac rehab can help, CKD or not: researchers see improvements in BMI, LDL...
- Magazine article from: Renal & Urology News MacDougall, David S. March 1, 2006 700+ words
CKD PATIENTS benefit from cardiac rehabilitation (CR) programs to a similar extent as non-CKD patients, according to a new study. Patients with CKD have a high prevalence of cardiovascular risk factors and...
- Effect of cement kiln dust (CKD) on mortar and concrete mixtures.
- Magazine article from: Construction and Building Materials Al-Harthy, Ali S. Taha, Ramzi Al-Maamary, Faisal July 1, 2003 700+ words
...to investigate the use of cement kiln dust (CKD) as a cementitious material in concrete and mortar. CKD was added to concrete and mortar mixtures to...and toughness of concrete samples containing CKD are reported. The sorptivity and the initial...
- First-degree relatives of CKD patients are at higher CKD risk.(Survey)
- Magazine article from: Renal & Urology News Helwick, Caroline October 1, 2009 700+ words
FIRST-DEGREE relatives of CKD patients have a greater prevalence of CKD risk factors than the general population and should be...in 30 dialysis clinics to determine the prevalence of CKD and cardiovascular risk factors. "We found that the...
- Vascular calcification common in CKD: elevated coronary artery calcification...
- Magazine article from: Renal & Urology News Moyer, Paula June 1, 2006 700+ words
...FRANCISCO -- Patients with all stages of CKD have an increased risk of vascular calcification...dialysis." Dr. Toto noted that in those with CKD in stages III to V, the rate of vascular...stages I and II. In diabetics with advanced CKD who are not yet on dialysis, up to 90...