Records help target CKD

Readily available clinical data can be used to identify most elderly patients at risk of rapid progression to kidney dysfunction, Canadian research suggests.

It follows calls from the Royal College of Physicians of Edinburgh for GPs to give all patients with CKD urine dipstick tests for proteinuria (GP, 16 February).

The latest study of over 10,000 people older than 66 showed that being over 75, having cardiac disease and use of anti-emetic medication were associated with a risk of kidney dysfunction.

Dr Ian Wilkinson, a GPSI in renal medicine in Oldham, Lancashire, said: ‘Patients who have comorbidities are more at risk so we could use this as a targeting methodology, and dipstick protein testing for CKD would be in the next round of the GMS quality framework.’

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