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BioMed Central, BMC Family Practice, 1(15), 2014

DOI: 10.1186/s12875-014-0196-3

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Predictors of patient self-report of chronic kidney disease: baseline analysis of a randomised controlled trial

Journal article published in 2014 by Hannah Gaffney, Thomas Blakeman, Christian Blickem, Anne Kennedy, David Reeves ORCID, Thomas Blakeman Christian Blickem Anne Kennedy David Reeves Shoba Dawson Rahena Mossabir Peter Bower Caroline Gardner Victoria Lee and Anne Rogers Hannah Gaffney, Shoba Dawson ORCID, Rahena Mossabir, Peter Bower, Caroline Gardner ORCID, Victoria Lee, Blakeman T Blickem C Kennedy A Reeves D Dawson S Mossabir R Bower P Gardner C Lee V. and Rogers A. Gaffney H., Anne Rogers, Blakeman T Blickem C Kennedy A Reeves D Dawson S Mossabir R Bower P Gardner C Lee V Rogers A. Gaffney H.
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Abstract Background Improving the quality of care for patients with vascular disease is a priority. Clinical guidance has emphasised the importance of early identification and active management of chronic kidney disease (CKD) in primary care in order to maintain vascular health. However, awareness of stage 3 CKD amongst patients remains limited. We aimed to identify predictors of patient self-report of CKD to inform tailoring of conversations around CKD in primary care for diverse patient populations. Methods We conducted a cross-sectional analysis of baseline data from 436 patients with stage 3 CKD from 24 GP practices taking part in a randomised controlled trial (RCT) evaluating a complex self-management intervention, which aimed to support the maintenance of vascular health in patients with stage 3 CKD. Potential predictors of patient self-report of CKD included demographics, stage of CKD, cardiovascular risk, self-reported co-morbidities, health status, self-management ability, and health service utilisation. Results Around half (52%, n = 227) of patients did not self-report CKD. Self-report rates did not appreciably differ by practice. Multivariate analysis revealed that female patients ( p  = 0.004), and patients with stage 3b CKD ( p