Skip Navigation


Family Practice Advance Access originally published online on June 24, 2007
Family Practice 2007 24(4):330-335; doi:10.1093/fampra/cmm026
This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
24/4/330    most recent
cmm026v1
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Klebe, B.
Right arrow Articles by Stevens, P.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Klebe, B.
Right arrow Articles by Stevens, P.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author 2007. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org.

Kidney disease management in UK primary care: guidelines, incentives and Information Technology

Bernhard Klebea, Chris Farmera, Roger Cooleyb, Simon de Lusignanc, Rachel Middletond, Donal O'Donoghued, John Newe and Paul Stevensa

a Department of Renal Medicine, Kent and Canterbury Hospital, Ethelbert Road, Canterbury, Kent, CT1 3NG
b Computing Department, Cornwallis South, University of Kent, Canterbury, Kent, CT2 7NF
c Primary Care Informatics, Department of Community Health Sciences, St Georges Hospital Medical School, London, SW17 0RE
d Department of Renal Medicine, Hope Hospital, Salford, Stott Lane, Salford, Greater Manchester, M6 8HD
e Department of Diabetes, Hope Hospital, Salford, Stott Lane, Salford, Greater Manchester, M6 8HD

Correspondence to: B Klebe, Department of Renal Medicine, Kent and Canterbury Hospital, Ethelbert Road, Canterbury, Kent, CT1 3NG; Email: bernhard.klebe{at}ekht.nhs.uk

Received 11 May 2006; Revised 23 March 2007; Accepted 30 April 2007.


  Abstract

The last few years have seen new developments to understand and tackle the significant public health issue posed by chronic kidney disease (CKD). Established renal disease currently consumes 2% of the UK National Health Service budget and predictions are that this figure will increase significantly due to the rising number of people requiring renal replacement therapy fuelled by the ageing population and the diabetes mellitus epidemic.

This paper reviews the scale of CKD and discusses the new developments such as staging, referral guidelines and new Department of Health incentives brought about to improve awareness. The importance of Information Technology in assisting the management of renal disease is also outlined. We identify various types of intervention which might be used to do this: feedback in an educational context, the establishment of computerized decision support and enhancement of the patient journey. Many principles may be extended to the management of any chronic disease. While new developments are necessary to improve care, wider implementation is required to be able to see if improved outcomes are achieved.

Keywords. Chronic kidney disease, glomerular filtration rate, National Service Framework, Quality and Outcomes Framework, Information Technology.

Klebe B, Farmer C, Cooley R, de Lusignan S, Middleton R, O'Donoghue D, New J and Stevens P. Kidney disease management in UK primary care: guidelines, incentives and information technology. Family Practice 2007; 24: 330–335.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 CJASNHome page
M. B. Patwardhan, K. Kawamoto, D. Lobach, U. D. Patel, and D. B. Matchar
Recommendations for a Clinical Decision Support for the Management of Individuals with Chronic Kidney Disease
Clin. J. Am. Soc. Nephrol., February 1, 2009; 4(2): 273 - 283.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.