Call for CKD screening to be a quality marker

Screening patients with hypertension as well as those with diabetes can lead to the early identification of chronic kidney disease (CKD) and should be included in the quality framework, say GPs.

Yesting patients with hypertension for CKD saves lives and reduces the burden of kidney disease
It could save lives by preventing the late referral of patients with CKD as well as helping to reduce healthcare costs and the burden of kidney disease.

The call comes as findings from a Norwegian study, published in the BMJ, have shown that screening patients with diabetes and hypertension is the most effective strategy to detect patients with CKD.

Professor Mike Kirby, Hertfordshire GP and member of the Primary Care Cardiovascular Society, said: ‘GPs should test patients with hypertension for CKD and this should be included in the quality framework as a lot of patients with hypertension will get renal damage.’
Although there is no requirement for CKD screening of hypertensives in the quality framework, he added that: ‘Most hypertension patients with high creatinine levels will be checked for estimated glomerular filtration rate and then included in the CKD register.’

Dr Ian Wilkinson, GPSI in renal medicine in Oldham, Lancashire, said that the hypertension register was routinely tested for CKD, but that there should be an indicator for hypertension in the framework.

The BMJ study found that the high-risk screening model of restricting screening to people with previously known hypertension or diabetes identified 44.2 per cent of all cases of CKD.

At present, screening for CKD is accepted practice in patients with hypertension or diabetes. Researchers found that the restriction detected only 51.6 per cent of cases.

However, screening that targeted people with hypertension, diabetes, or those aged over 55 identified 93.2 per cent of cases.
GPC negotiator Dr Richard Vautrey said there were no plans to introduce such an indicator to the framework as the work was already being done.
BMJ Online

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins


Already registered?

Sign in

Just published

BMA Scotland GP committee chair Dr Andrew Buist

General practice in Scotland 'in serious trouble', warns BMA Scotland GP chair

General practice in Scotland has reached a tipping point, with demand far outstripping...

Hospital entrance

NHS England issues warning over norovirus and rising winter pressures

Almost three times as many people were in hospital with norovirus last week compared...

BMA Northern Ireland GP committee chair Dr Alan Stout

Northern Ireland GPs face deepest-ever crisis as practices hand back contracts

Northern Ireland's GP leader has warned that general practice in the region is facing...

GP consulting room

GP appointments hit record high of over 34m in October

GP practices delivered a record 34.3m appointments in October this year excluding...

GP consultation

New contract that enforces continuity would make GPs and patients safer, says watchdog

A new GP contract that makes continuity of care an 'essential requirement' for practices...

GP receptionist on the phone

Some practices to receive funding to upgrade digital phone systems

GP practices whose digital phone systems do not meet new NHS England standards will...