The University of Southampton
University of Southampton Institutional Repository

National primary care guidelines for England: impact on chronic kidney disease prevention in South Asian populations

National primary care guidelines for England: impact on chronic kidney disease prevention in South Asian populations
National primary care guidelines for England: impact on chronic kidney disease prevention in South Asian populations
Introduction: This study evaluated the impact of national policy for kidney disease in primary care comparing South Asian (SA) and white European (WE) population groups. Methods: Retrospective audits of primary care records of SA and WE adults diagnosed with diabetes in 2004 and 2007 were carried out in a total sample of 707 patients across 18 general practices within Luton, Leicester and West London. Results: Four hundred patients (SA: n=241, and WE: n=159) were diagnosed as diabetic in 2004, and 307 (SA: n=178, and WE: n=129) in 2007. South Asian patients were 9-10 years younger, had lower systolic blood pressure than white Europeans at diagnosis in both years (136.1 vs. 141.4 mm Hg, p=0.01, in 2004; and 134 vs. 142.3 mm Hg, p=0.000, in 2007) and significantly higher HbA1c (8.6%, 63 mmol/L vs. 7.9%, 71 mmol/L) at diagnosis in 2004 than in 2007 (8.3%, 67 mmol/L vs. 8.2%, 66 mmol/L). Recording of the majority of variables associated with diabetic kidney disease increased across both patient groups between 2004 and 2007: albumin to creatinine ratio (up 13.0% in SA to 37.9%, and 15.1% in WE to 40.3%), estimated glomerular filtration rate (up 61.7% in SA to 70.8% and 75.6% in WE to 80.6%) and proteinuria (up 19.3% in SA to 46.3% and 26.1% in WE to 51.9%). Conclusions: Recording of indicators for diabetic kidney disease at diagnosis increased in both South Asians and white Europeans following introduction of national guidance to improve early detection and quality of care in the diabetic kidney disease care pathway
1121-8428
661-671
Wilkinson, Emma
423f1b12-73a3-4add-8dcd-dea1df7b6b81
Randhawa, Gurch
013ce978-be3f-4228-8773-a712089ca928
Roderick, Paul
dbb3cd11-4c51-4844-982b-0eb30ad5085a
Rehman, Tariq
86c3828e-2be4-4217-a890-0061490aa211
Abubacker, Talib
dda8ce4d-5289-4cf9-9063-14afaf8b3655
Wilkinson, Emma
423f1b12-73a3-4add-8dcd-dea1df7b6b81
Randhawa, Gurch
013ce978-be3f-4228-8773-a712089ca928
Roderick, Paul
dbb3cd11-4c51-4844-982b-0eb30ad5085a
Rehman, Tariq
86c3828e-2be4-4217-a890-0061490aa211
Abubacker, Talib
dda8ce4d-5289-4cf9-9063-14afaf8b3655

Wilkinson, Emma, Randhawa, Gurch, Roderick, Paul, Rehman, Tariq and Abubacker, Talib (2012) National primary care guidelines for England: impact on chronic kidney disease prevention in South Asian populations. Journal of Nephrology, 25 (5), 661-671. (doi:10.5301/jn.5000037). (PMID:21983987)

Record type: Article

Abstract

Introduction: This study evaluated the impact of national policy for kidney disease in primary care comparing South Asian (SA) and white European (WE) population groups. Methods: Retrospective audits of primary care records of SA and WE adults diagnosed with diabetes in 2004 and 2007 were carried out in a total sample of 707 patients across 18 general practices within Luton, Leicester and West London. Results: Four hundred patients (SA: n=241, and WE: n=159) were diagnosed as diabetic in 2004, and 307 (SA: n=178, and WE: n=129) in 2007. South Asian patients were 9-10 years younger, had lower systolic blood pressure than white Europeans at diagnosis in both years (136.1 vs. 141.4 mm Hg, p=0.01, in 2004; and 134 vs. 142.3 mm Hg, p=0.000, in 2007) and significantly higher HbA1c (8.6%, 63 mmol/L vs. 7.9%, 71 mmol/L) at diagnosis in 2004 than in 2007 (8.3%, 67 mmol/L vs. 8.2%, 66 mmol/L). Recording of the majority of variables associated with diabetic kidney disease increased across both patient groups between 2004 and 2007: albumin to creatinine ratio (up 13.0% in SA to 37.9%, and 15.1% in WE to 40.3%), estimated glomerular filtration rate (up 61.7% in SA to 70.8% and 75.6% in WE to 80.6%) and proteinuria (up 19.3% in SA to 46.3% and 26.1% in WE to 51.9%). Conclusions: Recording of indicators for diabetic kidney disease at diagnosis increased in both South Asians and white Europeans following introduction of national guidance to improve early detection and quality of care in the diabetic kidney disease care pathway

This record has no associated files available for download.

More information

e-pub ahead of print date: 7 October 2011
Published date: September 2012
Organisations: Primary Care & Population Sciences

Identifiers

Local EPrints ID: 335552
URI: http://eprints.soton.ac.uk/id/eprint/335552
ISSN: 1121-8428
PURE UUID: 2b11e318-edfe-47a2-9e68-5fbc58202c76
ORCID for Paul Roderick: ORCID iD orcid.org/0000-0001-9475-6850

Catalogue record

Date deposited: 12 Mar 2012 15:29
Last modified: 15 Mar 2024 02:49

Export record

Altmetrics

Contributors

Author: Emma Wilkinson
Author: Gurch Randhawa
Author: Paul Roderick ORCID iD
Author: Tariq Rehman
Author: Talib Abubacker

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×