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Prevalence and reco...
Prevalence and recognition of chronic kidney disease in Stockholm healthcare
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- Gasparini, Alessandro (author)
- Karolinska Institutet
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- Evans, Marie (author)
- Karolinska Institutet
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- Coresh, Josef (author)
- Johns Hopkins Univ, Welch Ctr Prevent Epidemiol & Clin Res, Baltimore, MD USA.
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- Grams, Morgan E. (author)
- Johns Hopkins Univ, Welch Ctr Prevent Epidemiol & Clin Res, Baltimore, MD USA.;Johns Hopkins Univ, Dept Med, Div Nephrol, Baltimore, MD USA.
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- Norin, Olof (author)
- Karolinska Institutet
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- Qureshi, Abdul R. (author)
- Karolinska Institutet
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- Runesson, Bjorn (author)
- Karolinska Institutet
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- Barany, Peter (author)
- Karolinska Institutet
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- Ärnlöv, Johan (author)
- Högskolan Dalarna,Uppsala universitet,Institutionen för medicinska vetenskaper,Dalarna Univ, Sch Hlth & Social Studies, Falun, Sweden,Medicinsk vetenskap
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- Jernberg, Tomas (author)
- Karolinska Institutet
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- Wettermark, Bjorn (author)
- Karolinska Institutet
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- Elinder, Carl G. (author)
- Karolinska Institutet
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- Carrero, Juan-Jesus (author)
- Karolinska Institutet
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Karolinska Institutet Johns Hopkins Univ, Welch Ctr Prevent Epidemiol & Clin Res, Baltimore, MD USA (creator_code:org_t)
- 2016-10-13
- 2016
- English.
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In: Nephrology, Dialysis and Transplantation. - : Oxford University Press (OUP). - 0931-0509 .- 1460-2385. ; 31:12, s. 2086-2094
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Abstract
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- Background. Chronic kidney disease (CKD) is common, but the frequency of albuminuria testing and referral to nephrology care has been difficult to measure. We here characterize CKD prevalence and recognition in a complete healthcare utilization cohort of the Stockholm region, in Sweden. Methods. We included all adult individuals (n = 1 128 058) with at least one outpatient measurement of IDMS-calibrated serum creatinine during 2006-11. Estimated glomerular filtration rate (eGFR) was calculated via the CKD-EPI equation and CKD was solely defined as eGFR <60 mL/min/1.73 m(2). We also assessed the performance of diagnostic testing (albuminuria), nephrology consultations, and utilization of ICD-10 diagnoses. Results. A total of 68 894 individuals had CKD, with a crude CKD prevalence of 6.11% [95% confidence interval (CI): 6.07-6.16%] and a prevalence standardized to the European population of 5.38% (5.33-5.42%). CKD was more prevalent among the elderly (28% prevalence >75 years old), women (6.85 versus 5.24% in men), and individuals with diabetes (17%), hypertension (17%) or cardiovascular disease (31%). The frequency of albuminuria monitoring was low, with 38% of diabetics and 27% of CKD individuals undergoing albuminuria testing over 2 years. Twenty-three per cent of the 16 383 individuals satisfying selected KDIGO criteria for nephrology referral visited a nephrologist. Twelve per cent of CKD patients carried an ICD-10 diagnostic code of CKD. Conclusions. An estimated 6% of the adult Stockholm population accessing healthcare has CKD, but the frequency of albuminuria testing, nephrology consultations and registration of CKD diagnoses was suboptimal despite universal care. Improving provider awareness and treatment of CKD could have a significant public health impact.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Urologi och njurmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Urology and Nephrology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
Keyword
- chronic renal failure
- creatinine
- nephrology
- public health
- referral
- Hälsa och välfärd
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Gasparini, Aless ...
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Evans, Marie
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Coresh, Josef
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Grams, Morgan E.
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Norin, Olof
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Qureshi, Abdul R ...
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show more...
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Runesson, Bjorn
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Barany, Peter
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Ärnlöv, Johan
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Jernberg, Tomas
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Wettermark, Bjor ...
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Elinder, Carl G.
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Carrero, Juan-Je ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Urology and Neph ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
- Articles in the publication
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Nephrology, Dial ...
- By the university
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Uppsala University
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Karolinska Institutet
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Högskolan Dalarna