Abstract
It has been recommended that adult patients with a serum creatinine above 150 µmol/l should be referred to a nephrologist for specialist assessment. This study ascertained all patients in Northern Ireland with creatinine above this concentration in 2001 (n = 19 286 ) to see if this triggered referral within the subsequent year. After exclusion of those who were already known to a nephrologist and those who had acute renal failure, it was found that younger patients and diabetic patients were more likely to be referred. There was no difference in referral rates between male and female patients. However, only 6.5% of all non-diabetic subjects and 19% of diabetic patients were referred within 12 months after a first increased serum creatinine test.
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Selected References
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- Clase Catherine M., Garg Amit X., Kiberd Bryce A. Prevalence of low glomerular filtration rate in nondiabetic Americans: Third National Health and Nutrition Examination Survey (NHANES III). J Am Soc Nephrol. 2002 May;13(5):1338–1349. doi: 10.1097/01.asn.0000013291.78621.26. [DOI] [PubMed] [Google Scholar]
- Curtis B., Barrett B. J., Levin A. Identifying and slowing progressive chronic renal failure. Can Fam Physician. 2001 Dec;47:2512–2518. [PMC free article] [PubMed] [Google Scholar]
- Drey Nicholas, Roderick Paul, Mullee Mark, Rogerson Mary. A population-based study of the incidence and outcomes of diagnosed chronic kidney disease. Am J Kidney Dis. 2003 Oct;42(4):677–684. doi: 10.1016/s0272-6386(03)00916-8. [DOI] [PubMed] [Google Scholar]
- Hickman M., Barker M., Roderick P., Wright D. Assessment of the feasibility of conducting population prevalence studies of chronic renal failure according to ethnic group: a survey of clinical biochemistry laboratories in Greater London and south east England. Ann Clin Biochem. 1999 Jan;36(Pt 1):94–98. doi: 10.1177/000456329903600113. [DOI] [PubMed] [Google Scholar]
- Kalra P. A., Kumwenda M., MacDowall P., Roland M. O. Questionnaire study and audit of use of angiotensin converting enzyme inhibitor and monitoring in general practice: the need for guidelines to prevent renal failure. BMJ. 1999 Jan 23;318(7178):234–237. doi: 10.1136/bmj.318.7178.234. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McLaughlin K., Manns B., Culleton B., Donaldson C., Taub K. An economic evaluation of early versus late referral of patients with progressive renal insufficiency. Am J Kidney Dis. 2001 Nov;38(5):1122–1128. doi: 10.1053/ajkd.2001.28619. [DOI] [PubMed] [Google Scholar]
- Wilson R., Godwin M., Seguin R., Burrows P., Caulfield P., Toffelmire E., Morton R., White P., Rogerson M., Eisele G. End-stage renal disease: factors affecting referral decisions by family physicians in Canada, the United States, and Britain. Am J Kidney Dis. 2001 Jul;38(1):42–48. doi: 10.1053/ajkd.2001.25180. [DOI] [PubMed] [Google Scholar]
- Wrone E. M., Hornberger J. Evaluating the consequences of multidisciplinary case management for patients with chronic renal failure. Am J Med. 1998 Dec;105(6):546–548. doi: 10.1016/s0002-9343(98)00332-5. [DOI] [PubMed] [Google Scholar]