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- Title
Awareness of chronic kidney disease in Austria: a frequently under-recognized clinical picture.
- Authors
Friedl, Claudia; Hemetsberger, Margit; Mader, Julia; Fahrleitner-Pammer, Astrid; Pieber, Thomas R.; Rosenkranz, Alexander R.
- Abstract
Background: The prevalence of chronic kidney disease (CKD) is rising at an alarming rate, thus presenting a substantial burden for the patient as an individual and-because of the enormous treatment costs-for society as a whole. Early diagnosis and therapy could slow disease progression and reduce the prevalence of cost-intensive end stage renal disease. The aim of this study was to determine the accuracy of diagnosis of CKD in acute patients presenting at an internal ward. Methods: Routine laboratory parameters of kidney function of 238 inpatients were retrospectively evaluated to determine the prevalence of CKD, defined as estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73 m. Those results were compared with the actual documentation of the ICD-10 diagnosis CKD in the discharge reports of the respective patients. Results: Of 238 patients, 228 patients were included in the analysis. The overall median (range) eGFR was 60.7 (10.4-171.9) mL/min/1.73 m, with no gender-specific difference. Of patients, 49.6 % ( n = 113) were retrospectively diagnosed with CKD stage 3 or higher. However, the review of the discharge reports found correct diagnosis of CKD in only 38.1 % ( n = 43) of these patients. Conclusions: The present analysis shows that CKD remains frequently unrecognized, even in a hospital setting. This could have dramatic implications on the care, treatment and prevention of CKD and associated complications.
- Subjects
AUSTRIA; KIDNEY disease diagnosis; KIDNEY disease treatments; DISEASE prevalence; GLOMERULAR filtration rate
- Publication
Wiener Klinische Wochenschrift, 2013, Vol 125, Issue 13/14, p362
- ISSN
0043-5325
- Publication type
Article
- DOI
10.1007/s00508-013-0374-7