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THURSDAY, July 11, 2019 (HealthDay News) — For patients with chronic kidney disease (CKD), the prevalence of uncontrolled hypertension and diabetes is high and has not improved over time, according to a study published online July 11 in the Clinical Journal of the American Society of Nephrology<\/i>.<\/p>\n
Sri Lekha Tummalapalli, M.D., from the University of California in San Francisco, and colleagues conducted a cross-sectional study of visits to office-based ambulatory care practices for adults with diagnosed CKD from 2006 to 2014. The authors examined the change in quality performance over time.<\/p>\n
The researchers identified 7,099 unweighted visits for patients with CKD between 2006 and 2014, representing 186,961,565 weighted visits. The prevalence of uncontrolled hypertension (>130\/80 mm Hg) did not differ over time (46 percent in 2006 to 2008 versus 48 percent in 2012 to 2015; P = 0.50). In 2012 to 2014, there was a high prevalence of uncontrolled diabetes (40 percent for hemoglobin A1c >7 percent). There was a decrease in the prevalence of angiotensin-converting enzyme inhibitor\/angiotensin receptor blocker use from 45 percent in 2006 to 2008 to 36 percent in 2012 to 2014; this decrease did not reach statistical significance (P = 0.072). In patients with CKD who were 50 years or older, statin use was low and remained unchanged: 29 percent in 2006 to 2008 and 31 percent in 2012 to 2014 (P = 0.92).<\/p>\n
“Our findings indicate that, even when physicians are aware of a patient’s CKD diagnosis, there are substantial gaps in quality of CKD care,” the authors write.<\/p>\n
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