Medizinische Universität Graz - Research portal
Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Friedl, C; Hemetsberger, M; Mader, J; Fahrleitner-Pammer, A; Pieber, TR; Rosenkranz, AR.
Awareness of chronic kidney disease in Austria: a frequently under-recognized clinical picture.
Wien Klin Wochenschr. 2013; 125(13-14):362-367
Doi: 10.1007/s00508-013-0374-7
Web of Science
PubMed
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- Leading authors Med Uni Graz
- Lackner Claudia
- Rosenkranz Alexander
- Co-authors Med Uni Graz
- Fahrleitner-Pammer Astrid
- Mader Julia
- Pieber Thomas
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- Abstract:
- Background The prevalence of chronic kidney disease (CKD) is rising at an alarming rate, thus presenting a substantial burden for the patient as an individual and-because of the enormous treatment costs-for society as a whole. Early diagnosis and therapy could slow disease progression and reduce the prevalence of cost-intensive end stage renal disease. The aim of this study was to determine the accuracy of diagnosis of CKD in acute patients presenting at an internal ward. Methods Routine laboratory parameters of kidney function of 238 inpatients were retrospectively evaluated to determine the prevalence of CKD, defined as estimated glomerular filtration rate (eGFR) <60 mL/min/1.73 m(2). Those results were compared with the actual documentation of the ICD-10 diagnosis CKD in the discharge reports of the respective patients. Results Of 238 patients, 228 patients were included in the analysis. The overall median (range) eGFR was 60.7 (10.4-171.9) mL/min/1.73 m(2), with no gender-specific difference. Of patients, 49.6 % (n = 113) were retrospectively diagnosed with CKD stage 3 or higher. However, the review of the discharge reports found correct diagnosis of CKD in only 38.1 % (n = 43) of these patients. Conclusions The present analysis shows that CKD remains frequently unrecognized, even in a hospital setting. This could have dramatic implications on the care, treatment and prevention of CKD and associated complications.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Age Distribution -
- Aged -
- Aged, 80 and over -
- Aged, 80 and over - epidemiology
- Diagnostic Errors - prevention & control
- Early Diagnosis -
- Female -
- Health Knowledge, Attitudes, Practice -
- Hospitalization - statistics & numerical data
- Humans -
- Kidney Function Tests - statistics & numerical data
- Male -
- Middle Aged -
- Patient Discharge Summaries - statistics & numerical data
- Prevalence -
- Renal Insufficiency, Chronic - diagnosis
- Reproducibility of Results -
- Risk Factors -
- Sensitivity and Specificity -
- Sex Distribution -
- Young Adult -
- Find related publications in this database (Keywords)
- Chronic kidney disease
- Diagnosis
- Prevalence
- Estimated glomerular filtration rate
- Underdiagnosis