NDLI: Recording blood pressure and eGFR in primary care after the Belgrade screening study

Content Provider	Taylor & Francis Online
Author	Djukanovic, Ljubica Marinkovic, Jelena Jovanovic-Vasiljevic, Nada Milutinovic, Zoran Lezaic, Visnja Vujicic, Vesna Kalabic, Snezana Pejovic, Branka
Abstract	Background: In 2009, Belgrade nephrologists and general practitioners from thirteen health centers carried out screening for chronic kidney disease (CKD). Three years later, medical records of patients from four health centers participating in the screening study were retrospectively analyzed in order to check whether general practitioners had continued to control patients at risk for CKD in accordance with the recommendations provided.Methods: The study included 460 patients who visited their doctor at least once in the three-year period. Data on blood pressure, ACEI use, estimated glomerular filtration rate (eGFR) and comorbidities were taken from patients’ medical records.Results: Blood pressure was not recorded in any of the three years in 42.8% and eGFR in 36.7% of the patients, but blood pressure was registered every year in 7.8% and eGFR in 4.3% of them. Over the three years, the relative number of patients with recorded blood pressure decreased from 41.7% to 17.8%, and with recorded eGFR from 41.7% to 21.5%. Multivariate linear regression found that Health Center, systolic and diastolic blood pressure and presence of hypertension were negatively associated with number of years with recorded blood pressure. Health Center, systolic blood pressure and sum of years with recorded eGFR below 60 ml/min/1.73m2 were associated with number of years with recorded eGFR.Conclusions: Under-recording of blood pressure and eGFR in primary care health centers suggests lack of adherence to current guidelines and insufficient care of CKD patients. This implies the necessity for continuous education of physicians.
Starting Page	160
Ending Page	169
Page Count	10
File Format	PDF HTM / HTML
ISSN	0886022X 15256049
DOI	10.1080/0886022X.2018.1450759
Journal	Renal Failure
Volume Number	40
Issue Number	1
Language	English
Publisher	Taylor & Francis
Publisher Date	2018-03-22
Access Restriction	Open
Subject Keyword	Primary care Screening Chronic kidney disease Blood pressure EGFR
Content Type	Text
Resource Type	Article
Subject	Critical Care and Intensive Care Medicine Nephrology

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