HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Rapid Responses: Submit a response Alert me when this article is cited Alert me when Rapid Responses are posted Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Fox, C. H. Articles by Murray, B. Search for Related Content PubMed Articles by Fox, C. H. Articles by Murray, B. Social Bookmarking                      What's this?

Primary Care Physicians’ Knowledge and Practice Patterns in the Treatment of Chronic Kidney Disease: An Upstate New York Practice-based Research Network (UNYNET) Study

From the Department of Family Medicine (CHF, AB, LEZ)
Department of Medicine and Nephrology (BM), University at Buffalo, Buffalo, NY
Department of Medicine and Nephrology (WM), Emory University, Atlanta, GA

Correspondence: Corresponding author: Chester H. Fox, MD, University at Buffalo, Department of Family Medicine, 462 Grider Street, Buffalo, NY 14215 (E-mail: cfox{at}buffalo.edu)

Background: There is a steady increase in the prevalence of chronic kidney disease (CKD) in the United States. Primary care physicians (PCPs) can engage in strategies that are proven to be effective in reducing the progression rate of kidney disease. The National Kidney Foundation has released evidence-based guidelines called the Kidney Disease Outcome Quality Improvement Initiative (K/DOQI) that detail these strategies. No information exists regarding adoption of these guidelines in primary care.

Methods: A qualitative study in a practice-based research network (PBRN) was undertaken to explore common PCP practices and knowledge regarding CKD. A typical case sampling strategy was followed. Semi-structured interviews and exit surveys were conducted with 10 PCPs from randomly selected PBRN practices. Three reviewers conducted content analysis using the immersion-crystallization approach.

Results: Five general themes emerged as key findings: (1) lack of awareness of K/DOQI guidelines; (2) Desire for more CKD practice guidance; (3) persistence of traditional, less accurate, diagnostic procedure; (4) variability in the treatment of complications; and (5) uncertainty of timing for referral to a nephrologist.

Conclusion: Facing a growing CKD incidence, PCPs can have an impact on preventing its progression and associated complications with increased familiarity of new guidelines.

CiteULike

Complore

Connotea

Del.icio.us

Digg

Reddit

Technorati

This article has been cited by other articles:

				W. M. McClellan, H. Wasse, A. C. McClellan, A. Kipp, L. A. Waller, and M. V. Rocco Treatment Center and Geographic Variability in Pre-ESRD Care Associate with Increased Mortality J. Am. Soc. Nephrol., May 1, 2009; 20(5): 1078 - 1085. [Abstract] [Full Text] [PDF]

				S. A. Krikorian Managing Anemia of Chronic Kidney Disease American Journal of Lifestyle Medicine, March 1, 2009; 3(2): 135 - 146. [Abstract] [PDF]

				V. Agrawal, A. K. Ghosh, M. A. Barnes, and P. A. McCullough Perception of Indications for Nephrology Referral among Internal Medicine Residents: A National Online Survey Clin. J. Am. Soc. Nephrol., February 1, 2009; 4(2): 323 - 328. [Abstract] [Full Text] [PDF]

				C. K. Cheung and S. Bhandari Perspectives on eGFR reporting from the Interface between Primary and Secondary Care Clin. J. Am. Soc. Nephrol., February 1, 2009; 4(2): 258 - 260. [Abstract] [Full Text] [PDF]

				C. H. Fox, A. Swanson, L. S. Kahn, K. Glaser, and B. M. Murray Improving Chronic Kidney Disease Care in Primary Care Practices: An Upstate New York Practice-based Research Network (UNYNET) Study J Am Board Fam Med, November 1, 2008; 21(6): 522 - 530. [Abstract] [Full Text] [PDF]

				M. M. Ward Laboratory Abnormalities at the Onset of Treatment of End-Stage Renal Disease: Are There Racial or Socioeconomic Disparities in Care? Arch Intern Med, May 28, 2007; 167(10): 1083 - 1091. [Abstract] [Full Text] [PDF]