Overdiagnosis of CKD in Older Adults: Unnecessary Interventions, Costs, and Worry.

Am Fam Physician

Personal Physician Care, Columbia, Maryland.

Published: June 2023

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Article Synopsis
  • * The review discusses barriers and facilitators to CKD detection and management since the KDOQI classification was introduced, calling for a revised strategy aligned with the upcoming KDIGO 2024 clinical guidelines.
  • * Effective CKD care is supported by classification systems, evidence-based treatments, and policy changes, while facing challenges like clinician concerns about overdiagnosis, inadequate financial incentives, complexity in guidelines, and disruptions caused by the COVID-19 pandemic.
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Kidney trajectory charts improve GP management of patients with reduced kidney function: a randomised controlled vignette study.

BJGP Open

July 2024

Australian Women and Girls' Health Research (AWaGHR) Centre, School of Public Health, Faculty of Medicine, The University of Queensland, Herston, Australia.

Background: The stages of chronic kidney disease (CKD) and estimated glomerular filtration rate (eGFR) reference ranges are currently determined without considering age.

Aim: To determine whether a chart that graphs age with eGFR helps GPs make better decisions about managing patients with declining eGFR.

Design & Setting: A randomised controlled vignette study among Australian GPs using a percentile chart plotting the trajectory of eGFR by age.

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Purpose Of Review: The conventional definition of chronic kidney disease (CKD) primarily relies on the identification of albuminuria or a decline in estimated glomerular filtration rate (eGFR). For many years, a straightforward eGFR threshold of <60 ml/min/1.73 m 2 has been widely adopted as the standard for defining CKD.

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