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. 2014 Nov 30:15:196.
doi: 10.1186/s12875-014-0196-3.

Predictors of patient self-report of chronic kidney disease: baseline analysis of a randomised controlled trial

Hannah Gaffney, Thomas Blakeman, Christian Blickem, Anne Kennedy, David Reeves, Shoba Dawson, Rahena Mossabir, Peter Bower, Caroline Gardner, Victoria Lee, Anne Rogers

Predictors of patient self-report of chronic kidney disease: baseline analysis of a randomised controlled trial

Hannah Gaffney et al. BMC Fam Pract. .

Abstract

Background: Improving the quality of care for patients with vascular disease is a priority. Clinical guidance has emphasised the importance of early identification and active management of chronic kidney disease (CKD) in primary care in order to maintain vascular health. However, awareness of stage 3 CKD amongst patients remains limited. We aimed to identify predictors of patient self-report of CKD to inform tailoring of conversations around CKD in primary care for diverse patient populations.

Methods: We conducted a cross-sectional analysis of baseline data from 436 patients with stage 3 CKD from 24 GP practices taking part in a randomised controlled trial (RCT) evaluating a complex self-management intervention, which aimed to support the maintenance of vascular health in patients with stage 3 CKD. Potential predictors of patient self-report of CKD included demographics, stage of CKD, cardiovascular risk, self-reported co-morbidities, health status, self-management ability, and health service utilisation.

Results: Around half (52%, n = 227) of patients did not self-report CKD. Self-report rates did not appreciably differ by practice. Multivariate analysis revealed that female patients (p = 0.004), and patients with stage 3b CKD (p < 0.001), and with higher anxiety levels (p < 0.001), were more likely to self-report CKD.

Conclusions: Self-report of kidney problems by patients on CKD registers was variable and patterned by sociodemographic factors. Although it cannot be assumed that failure to self-report indicates a lack of awareness of CKD, our data do suggest the need for greater consistency in discussions around kidney health, with meaningful and relevant clinical dialogue that is aligned with existing clinical encounters to enable shared decision making and minimise anxiety.

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Figures

Figure 1
Figure 1
Bar graph indicating the percentage 1 of patients reporting kidney problems by gender. 1Percentages controlled for other significant predictors (CKD stage and HADS-anxiety).
Figure 2
Figure 2
Bar graph indicating the percentage 1 of patients reporting kidney problems by CKD stage. 1Percentages controlled for other significant predictors (gender and HADS-anxiety).
Figure 3
Figure 3
Bar graph indicating the percentage 1 of patients reporting kidney problems by HADS-Anxiety score. 1Percentages controlled for other significant predictors (gender and CKD stage).
See this image and copyright information in PMC

References

    1. Excellence NIfHaC . Chronic kidney disease Early identification and management of chronic kidney disease in adults in primary and secondary care. London: National Institute for Health and Clinical Excellence; 2008. - PubMed
    1. De Lusignan S, Gallagher H, Stevens P, Harris K, O’Donoghue D. Chronic Kidney Disease Frequently Asked Questions. London: NHS Employers and the General Practitioners Committee of the British Medical Association; 2011.
    1. Excellence NIfHaC . Chronic Kidney Disease (QS5) QS5 London: NICE; 2011.
    1. Hippisley-Cox J, Coupland C, Vinogradova Y, Robson J, May M, Brindle P. Derivation and validation of QRISK, a new cardiovascular disease risk score for the United Kingdom: prospective open cohort study. BMJ. 2007;335(7611):136. doi: 10.1136/bmj.39261.471806.55. - DOI - PMC - PubMed
    1. Centre: NI . Revisions to the GMS Contract 2006/2007: Delivering Investment in General Practice. London: NHS Employers and the General Practitioners Committee of the British Medical Association; 2006.

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