Australian Community Pharmacists’ Experience of Implementing a Chronic Kidney Disease Risk Assessment Service
ORIGINAL RESEARCH — Volume 15 — June 14, 2018
The assessment protocol first selected people aged 50 to 74 years. People were eligible for risk assessment if they had one or more of the following: high blood pressure requiring treatment; diabetes; heart failure; a personal history of heart attack, angina, stroke, or transient ischemic attack; obesity; currently smoking; or a family history of kidney disease. For all eligible participants, researchers collected and recorded participant’s demographics, clinical information, medication history, and general practitioner details in the assessment data form; measured and recorded participant’s height, weight, and blood pressure reading in the results sheet; and calculated participant’s percentage risk of developing moderate to severe chronic kidney disease over the next 5 years using the QKidney risk calculator. Participants were then separated into those with less than a 3% chance of developing chronic kidney disease and those with a 3% or greater chance of developing chronic kidney disease. No referral was required of those with less than a 3% chance, while those with a 3% or greater chance of developing chronic kidney disease were referred to a general practitioner. The referred participants were then subdivided into 2 groups: participants with a 3% to 15% chance of developing chronic kidney disease were told to discuss those results at their next visit to a general practitioner. Participants with a 15% or greater chance of developing chronic kidney disease were instructed to discuss the results with a general practitioner within the next 2 weeks. All participants who were referred to a general practitioner were followed up at 9 to 10 months after the assessment; pathology data were collected from them; and they were asked to complete a participant satisfaction survey.
Flow diagram for chronic kidney disease risk assessment protocol.
Abbreviations: BP, blood pressure; CKD, chronic kidney disease; GP, general practitioner; TIA, transient ischemic attack.
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