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. 2023 Dec 9;15(12):e50247. doi: 10.7759/cureus.50247

Table 5. Questions related to the level of barriers among physicians toward CKD.

CKD: Chronic Kidney Disease; NSAIDs: Non-Steroidal Anti-Inflammatory Drugs

Statements Strongly agree Agree Neutral Disagree Strongly disagree
I feel comfortable:
Making the diagnosis of CKD in my patients 103 (24.1%) 149 (34.9%) 122 (28.6%) 44 (10.3%) 9 (2.1%)
Educating my patients about CKD 143 (33.5%) 168 (39.3%) 83 (19.4%) 28 (6.6%) 5 (1.2%)
Managing my patients with CKD 77 (18%) 136 (31.9%) 133 (31.1%) 70 (16.4%) 11 (2.6%)
Managing medication dosing in my patients with CKD 97 (22.7%) 115 (26.9%) 111 (26%) 79 (18.5%) 25 (5.9%)
Avoiding nephrotoxic medications (e.g., NSAIDs) in my patients with CKD 186 (43.6%) 157 (36.8%) 63 (14.8%) 17 (4%) 4 (0.9%)
Managing hypertension in my patients with CKD 137 (32.1%) 165 (38.6%) 84 (19.7%) 34 (8%) 7 (1.6%)
Managing anemia of CKD in my patients 94 (22%) 142 (33.3%) 129 (30.2%) 53 (12.4%) 9 (2.1%)
Managing bone disorders of CKD in my patients 66 (15.5%) 105 (24.6%) 129 (30.2%) 109 (25.5%) 18 (4.2%)
Managing electrolyte disorders (e.g., hyperkalemia) in my patients with CKD 88 (20.6%) 110 (25.8%) 111 (26%) 89 (20.8%) 29 (6.8%)
Managing metabolic acidosis in my patients with CKD 71 (16.6%) 105 (24.6%) 96 (22.5%) 110 (25.8%) 45 (10.5%)
I have available tools (e.g., electronic medical record alerts; checklists; or printed, web-based, or smartphone-based resources) which help me to:
Diagnose CKD 114 (26.7%) 145 (34%) 95 (22.2%) 49 (11.5%) 24 (5.6%)
Manage CKD 98 (23%) 144 (33.7%) 108 (25.3%) 54 (12.6%) 23 (5.4%)
Manage medication dosing 119 (27.9%) 156 (36.5%) 89 (20.8%) 43 (10.1%) 20 (4.7%)
Avoid prescribing nephrotoxic medications 115 (26.9%) 159 (37.2%) 91 (21.3%) 44 (10.3%) 18 (4.2%)
Manage hypertension in my patients with CKD 107 (25.1%) 166 (38.9%) 97 (22.7%) 42 (9.8%) 15 (3.5%)
Manage anemia of CKD 97 (22.7%) 146 (34.2%) 110 (25.8%) 56 (13.1%) 18 (4.2%)
Manage bone disorders of CKD 79 (18.5%) 129 (30.2%) 123 (28.8%) 68 (15.9%) 28 (6.6%)
Manage hyperkalemia in CKD 98 (23%) 127 (29.7%) 119 (27.9%) 58 (13.6%) 25 (5.9%)
Manage metabolic acidosis in CKD 86 (20.1%) 107 (25.1%) 127 (29.7%) 76 (17.8%) 31 (7.3%)
I have educational tools and resources (e.g., printed and web-based materials/programs, classes, or health educators) available to help my patients understand:
Their CKD diagnosis 78 (18.3%) 131 (30.7%) 117 (27.4%) 71 (16.6%) 30 (7%)
The potential medication-related risks associated with CKD (e.g., nephrotoxins, medication dosing)          
  72 (16.9%) 121 (28.3%) 132 (30.9%) 64 (15%) 38 (8.9%)
Anemia of CKD 65 (15.2%) 121 (28.3%) 130 (30.4%) 77 (18%) 34 (8%)
Hypertension in CKD 66 (15.5%) 134 (31.4%) 125 (29.3%) 68 (15.9%) 34 (8%)
Bone disorders in CKD patients 58 (13.6%) 115 (26.9%) 127 (29.7%) 93 (21.8%) 34 (8%)
Hyperkalemia in CKD 66 (15.5%) 116 (27.2%) 125 (29.3%) 84 (19.7%) 36 (8.4%)
Metabolic acidosis in CKD 59 (13.8%) 115 (26.9%) 123(28.8%) 91 (21.3%) 39 (9.1%)