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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
- Pressure cranks up on CKD as GPs face tougher targets.(chronic kidney disease)
- Newspaper article from: Pulse Cressey, Daniel July 13, 2006 700+ words
...the planned indicators on CKD will provoke particular consternation among GPs, coming as a Pulse straw...and more than half believe CKD points to be inadequate...concept of the QOF'. But GPs are already finding CKD targets a huge workload...
- GPs could face greater CKD management role.(Brief article)
- Magazine article from: GP February 9, 2007 700+ words
...of chronic kidney disease (CKD), say experts. The quality framework currently rewards GPs with up to 27 points for identifying...rachel.liddle@haymarket.com CKD TREATMENT - GPs may have to treat patients with CKD stages 1-3. - Treatment to...
- Exclusive: GPs to be given tougher quality targets for CKD.(estimated...
- Magazine article from: GP March 16, 2007 700+ words
...Hospital in London, said CKD indicators introduced into...were developed to 'ease GPs into this'. 'It was...audit-based education for GPs or CKD clinics improve outcomes...liddle@haymarket.com CKD indicators GPs may be expected to...
- GPs warned CKD burdenis only tip of the iceberg.(chronic kidney disease)
- Newspaper article from: Pulse November 2, 2006 700+ words
...strengthened the case for GPs taking on the management of CKD from specialists...to detect a case of CKD - yet half of cases...renal disease meant GPs `do not need to refer...cent * Many cases of CKD can be managed effectively by GPs Source: BMJ 2006...
- Increased role for GPs in management of CKD.( chronic kidney disease )(Brief...
- Magazine article from: GP October 6, 2006 700+ words
...chronic kidney disease (CKD). NICE guidance issued last week says GPs should consider anaemia in patients with CKD stage 3 to 5 if they had...management of anaemia in CKD. Although the guideline...significant burden for GPs at the moment, primary...
- GPs clash over CKD quality marker.(chronic kidney disease diagnosis and...
- Magazine article from: GP May 19, 2006 700+ words
...three chronic kidney disease (CKD) should all be reported as exceptions...calculation at the centre of the new CKD clinical domain was 'meaningless...older age groups, and urged GPs to use exception reporting to...he said. He added that the CKD indicators would result in many...
- GPs to test and treat proteinuria in CKD cases.
- Magazine article from: GP March 21, 2008 700+ words
...in primary care. GPs will have to measure...chronic kidney disease (CKD) under draft NICE...proteinuria would help GPs build on the success of the CKD quality framework...would be of benefit to GPs, he added. 'The fourth CKD quality indicator...
- GPs should refer earlier for CKD.(Survey)
- Magazine article from: GP July 6, 2007 700+ words
GPs should be referring chronic kidney disease (CKD) patients to nephrologists...primary care in the area of CKD care and management, but more education for GPs would be helpful, with NICE expected to release CKD guidelines in 2008/9...
- GPs face vacuum on CKD drug data.(chronic kidney disease)(Brief article)
- Newspaper article from: Pulse December 14, 2006 700+ words
GPs are being forced to deal with spiralling workload on...were among drugs that might need adjusting by dosage in CKD patients. The report from the DTB came as a Pulse snap survey of GPs revealed as many as 43 per cent lacked confidence in...
- How GPs took on huge new CKD role.(Brief article)
- Newspaper article from: Pulse February 22, 2007 700+ words
...revisions are announced - with CKD a major new component April 06...population could be diagnosed with CKD May 06 * Nephrologists say they will have to return patients to GPs as they struggle to cope with...Consensus statement on early CKD - admitting some indicators are...