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Research

Referring patients with stable moderate-to-advanced chronic kidney disease back to primary care: a feasibility study

Carola van Dipten, Wim de Grauw, Marc ten Dam, Willem Assendelft, Nynke Scherpbier-de Haan and Jack Wetzels
BJGP Open 3 May 2022; BJGPO.2021.0177. DOI: https://doi.org/10.3399/BJGPO.2021.0177
Carola van Dipten
1 Department of Primary and Community Care, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
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  • For correspondence: Carola.vanDipten@radboudumc.nl
Wim de Grauw
1 Department of Primary and Community Care, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
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Marc ten Dam
2 Department of Internal Medicine, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands
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Willem Assendelft
1 Department of Primary and Community Care, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
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Nynke Scherpbier-de Haan
1 Department of Primary and Community Care, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
3 Department of General Practice and Elderly Care Medicine, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands
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Jack Wetzels
4 Department of Nephrology, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
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    Table 1. Demographics of patients before start of the pilot (T0)
    NumberSexAge, yearsNephrological diagnosisKidney functionChronic Kidney Disease Epidemiology Collaboration , ml/min/1.73 m2AlbuminuriaACR, mg/mmolBlood pressure, mmHgComorbidity
    1 M70Renovascular and postrenal problem3026.2134/77HypertensionProstate cancer*/Seminoma testisPulmonary embolismDepression
    2 M69Glomerular disease2925.4121/69HypertensionHyperglycaemia
    3 F77Diabetes mellitus350.8144/69Hypothyroidism
    4 F66Diabetes mellitus and TIN301.9160/79Atrial fibrillationMitral insufficiency
    5 F70Renovascular and drug-induced280.6121/63HypertensionHypothyroidism
    6 M81Renovascular371.8138/63HypertensionHeart failureDiabetes mellitusPancreas insufficiency
    7 M74Nephrectomy after incidentaloma304.7134/68Diabetes mellitusAnaemia
    8 M86Renovascular2816.7127/73Myocardial infarctionCVAAneurysm iliac artery
    9 F66Renovascular394.2159/80Hypertension
    10 M82Unknown263.0117/73HypertensionAnaemia
    11 F78Kidney atrophy304.190/50CVALung cancerNon-Hodgkin lymphomaColon cancerLarynx cancerAorta valve stenosis
    12 M77Renovascular274.5124/76Diabetes mellitusHypertensionAngina pectorisCOPD GOLD IIAnaemiaAneurysm abdominal aortaBladder cancer
    13 F67Renovascular and nephrectomy310.0116/61Coronary artery diseasePeripheral vascular disease
    14 M76Renovascular320.2127/69Hypertension
    15 M71Glomerular disease423.8144/83Diabetes mellitusCoronary artery disease
    16 F72Renovascular3619.7138/66HypertensionDiabetes mellitusPeripheral artery disease
    17 F62TIN411.2148/73HypertensionObesityTIAGoutOSASCholecystectomy
    18 M70Unknown461.0140/83TIA
    • ACR = albumin-to-creatinine ratio. CKD = chronic kidney disease. COPD = chronic obstructive pulmonary disease. CVA = cerebrovascular accident. F = female. GOLD = Global Initiative for Chronic Obstructive Lung Diseases. M = male. OSAS = obstructive sleep apnea syndrome. TIA = transient ischaemic attack. TIN = tubulointerstitial nephritis.

Supplementary Data

  • vanDipten_BJGPO.2021.0177_Supp.pdf -

    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.

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Referring patients with stable moderate-to-advanced chronic kidney disease back to primary care: a feasibility study
Carola van Dipten, Wim de Grauw, Marc ten Dam, Willem Assendelft, Nynke Scherpbier-de Haan, Jack Wetzels
BJGP Open 3 May 2022; BJGPO.2021.0177. DOI: 10.3399/BJGPO.2021.0177

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Referring patients with stable moderate-to-advanced chronic kidney disease back to primary care: a feasibility study
Carola van Dipten, Wim de Grauw, Marc ten Dam, Willem Assendelft, Nynke Scherpbier-de Haan, Jack Wetzels
BJGP Open 3 May 2022; BJGPO.2021.0177. DOI: 10.3399/BJGPO.2021.0177
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Keywords

  • renal insufficiency, chronic
  • back referral
  • primary health care
  • patient participation
  • feasibility studies

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