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. 2010 May;17(3):225-36.
doi: 10.1053/j.ackd.2010.03.002.

Awareness of chronic kidney disease among patients and providers

Laura C Plantinga  1 , Delphine S Tuot, Neil R Powe
Affiliations

Awareness of chronic kidney disease among patients and providers

Laura C Plantinga et al. Adv Chronic Kidney Dis. 2010 May.

Abstract

Earlier recognition of chronic kidney disease (CKD) could slow progression, prevent complications, and reduce cardiovascular-related outcomes. However, current estimates of CKD awareness indicate that both patient- and provider-level awareness remain unacceptably low. Many of the factors that are possibly associated with CKD awareness, which could help guide implementation of awareness efforts, have yet to be fully examined. Also, little is known regarding whether increased patient or provider awareness improves clinical outcomes, or whether there are possible negative consequences of awareness for CKD patients. Further research is necessary to continue to design and refine awareness campaigns aimed at both patients and providers, but there is an immediate need for dissemination of basic CKD information, given both the high prevalence of CKD and its risk factors and the low estimated awareness of CKD.

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Conflict of interest statement

Financial Disclosure: None of the authors have any conflicts of interest to report.

Figures

Figure 1
Figure 1
Interaction of provider and patient awareness of CKD, its risk factors, and its consequences. Solid and dotted arrows, purported direct and indirect routes, respectively, of information exchange. CME, continuing medical education.
Figure 2
Figure 2
Potential path to awareness and associated outcomes for the CKD patient. Dashed arrows, possible psychosocial effects on awareness, understanding, and outcomes.
Figure 3
Figure 3
Percentage of U.S. population with albuminuria (single measurement) or CKD stage 3 or 4 who were aware of their disease, by eGFR. Data from the National Health and Nutrition Examination Survey 1999–2006. Bars, 95% CI. Albuminuria defined by albumin:creatinine ratio obtained from spot urine sample, >30 mg/g; GFR, estimated glomerular filtration rate by MDRD Study formula in ml/min/1.73 m2. Modified with permission from Plantinga et al. [4]. *No standard error estimates due to small sample size.
See this image and copyright information in PMC

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