Predictors of patient self-report of chronic kidney disease: baseline analysis of a
randomised controlled trial
Predictors of patient self-report of chronic kidney disease: baseline analysis of a
randomised controlled trial
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¿=¿0.003), and patients with stage 3b CKD (p¿<¿0.001), and with higher anxiety levels (p¿<¿0.001), were more likely to self-report CKD.
Conclusions: Self-report of kidney problems by patients on CKD registers was variable and patterned by sociodemographic factors. Although it cannot be assumed that failure to self-report indicates a lack of awareness of CKD, our data do suggest the need for greater consistency in discussions around kidney health, with meaningful and relevant clinical dialogue that is aligned with existing clinical encounters to enable shared decision making and minimise anxiety.
kidney diseases, primary health care, self-report, awareness, predictors, communication, self-management
165-[20pp]
Gaffney, Hannah
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Blakeman, Thomas
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Blickem, Christian
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Kennedy, Anne
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Reeves, David
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Dawson, Shoba
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Mossabir, Rahena
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Bower, Peter
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Gardner, Caroline
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Lee, Victoria
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Rogers, Anne
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30 November 2014
Gaffney, Hannah
606abd93-9d33-43e6-bea0-259c28977e5a
Blakeman, Thomas
c005e534-1e5e-4f74-a3ef-a4f298519399
Blickem, Christian
cc3228ac-f56e-4dca-9aae-cbb6bfac4fb3
Kennedy, Anne
e059c1c7-d6d0-41c8-95e1-95e5273b07f8
Reeves, David
4d9f4b50-445c-4257-81fe-4d6fa73a9891
Dawson, Shoba
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Mossabir, Rahena
9d87f1d9-0d3e-4289-9e97-812c85f5af2a
Bower, Peter
ec553157-a170-4219-8b55-2df813846e44
Gardner, Caroline
d99612f8-f7d7-4b42-9d4b-287202c8117c
Lee, Victoria
49d81914-cd51-4e61-9cd1-cef1cb069d1e
Rogers, Anne
105eeebc-1899-4850-950e-385a51738eb7
Gaffney, Hannah, Blakeman, Thomas, Blickem, Christian, Kennedy, Anne, Reeves, David, Dawson, Shoba, Mossabir, Rahena, Bower, Peter, Gardner, Caroline, Lee, Victoria and Rogers, Anne
(2014)
Predictors of patient self-report of chronic kidney disease: baseline analysis of a
randomised controlled trial.
BMC Family Practice, 15 (1), .
(doi:10.1186/s12875-014-0196-3).
(PMID:25433525)
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¿=¿0.003), and patients with stage 3b CKD (p¿<¿0.001), and with higher anxiety levels (p¿<¿0.001), were more likely to self-report CKD.
Conclusions: Self-report of kidney problems by patients on CKD registers was variable and patterned by sociodemographic factors. Although it cannot be assumed that failure to self-report indicates a lack of awareness of CKD, our data do suggest the need for greater consistency in discussions around kidney health, with meaningful and relevant clinical dialogue that is aligned with existing clinical encounters to enable shared decision making and minimise anxiety.
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Rogers Predictors of patient self-report.pdf
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Accepted/In Press date: 14 November 2014
e-pub ahead of print date: 30 November 2014
Published date: 30 November 2014
Keywords:
kidney diseases, primary health care, self-report, awareness, predictors, communication, self-management
Organisations:
Faculty of Health Sciences
Identifiers
Local EPrints ID: 372926
URI: http://eprints.soton.ac.uk/id/eprint/372926
ISSN: 1471-2296
PURE UUID: 114beab3-39da-4d84-acba-1217936efc5c
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Date deposited: 05 Jan 2015 13:13
Last modified: 14 Mar 2024 18:45
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Contributors
Author:
Hannah Gaffney
Author:
Thomas Blakeman
Author:
Christian Blickem
Author:
Anne Kennedy
Author:
David Reeves
Author:
Shoba Dawson
Author:
Rahena Mossabir
Author:
Peter Bower
Author:
Caroline Gardner
Author:
Victoria Lee
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