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Identifying patients with chronic kidney disease from general practice computer records

Background. Chronic kidney disease (CKD) is an important predictor of end-stage renal disease, as well as a marker of increased mortality. The New Opportunities for Early Renal Intervention by Computerised Assessment (NEOERICA) project aimed to assess whether people with undiagnosed CKD who might be...

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Bibliographic Details
Published in:Family practice 2005-06, Vol.22 (3), p.234-241
Main Authors: de Lusignan, Simon, Chan, Tom, Stevens, Paul, O'Donoghue, Donal, Hague, Nigel, Dzregah, Billy, Van Vlymen, Jeremy, Walker, Mel, Hilton, Sean
Format: Article
Language:English
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Summary:Background. Chronic kidney disease (CKD) is an important predictor of end-stage renal disease, as well as a marker of increased mortality. The New Opportunities for Early Renal Intervention by Computerised Assessment (NEOERICA) project aimed to assess whether people with undiagnosed CKD who might benefit from early intervention could be identified from GP computer records. Methods. The simplified Modification of Diet in Renal Disease (MDRD) equation was used to estimate glomerular filtration rate (GFR) and determine stage of CKD in patients from 12 practices in Surrey, Kent and Greater Manchester with SCr recorded in their notes. Further data were extracted on associated co-morbidities and potentially modifiable risk factors. Results. One quarter (25.7%; 28 862/112 215) had an SCr recorded and one in five (18.9%) of them had a GFR
ISSN:0263-2136
1460-2229
DOI:10.1093/fampra/cmi026