This publication presents a nationally agreed Consensus Statement on the best practice in the identification and management of chronic kidney disease in primary care.
Chronic kidney disease affects an estimated 210,000 New Zealanders. This number is rising, driven by the high prevalence of diabetes. Although only a small percentage of people with chronic kidney disease need renal surgery or dialysis, most are at increased risk of cardiovascular disease and death. From 2000 to 2012, there was an 85% increase in the number of patients living with dialysis.
Chronic kidney disease is usually first identified by primary care clinicians. This publication outlines best practice for identifying and managing chronic kidney disease in primary care, and is intended as a guide for primary care clinicians and managers in both funder and provider organisations. It covers:
- the classification of chronic kidney disease
- the risk factors for chronic kidney disease
- best practice in detection and management of chronic kidney diseasein primary care
- and key enablers for best practice management
Two initiatives in best practice management in primary care are described, using an electronic desktop tool to facilitate detection and management of chronic kidney disease, and nurse-led clinics to intensively manage high risk patients with chronic kidney disease.