Large gap between norms and actual quality of primary care in Canadian kidney patients
Chronic kidney disease (CKD) is a condition commonly encountered in primary health care the world over. However, a new study published in JAMA Network on September 4, 2019, shows that the standard of primary care is quite variable.
Despite guidelines issued by a host of organizations including the Canadian Society of Nephrology, only 75% of the patients under treatment met at least 4 of 12 quality indicators for treatment, and none at all for diagnosis or monitoring. A simple urine albumin test which is free and easy to do is done in only less than a fifth of patients. The study suggests that there is plenty of room for improvement in ensuring quality care in CKD, which can help reduce the healthcare burden due to ESKD.
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