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Hospitalized patients frequently unaware of their chronic kidney disease.


ABSTRACT: Prior studies have found that outpatients are frequently unaware of their chronic kidney disease (CKD). Little is known about CKD awareness in hospitalized patients. We conducted a retrospective study of general medicine inpatients with CKD, ascertained through International Classification of Diseases, Ninth Revision codes for non-dialysis-dependent CKD (585.0-585.9) in their first 20 admission diagnoses (n?=?590). Patient awareness of their CKD, defined as correct patient self-report of "kidney problems" was 32%. Of 161 patients with advanced CKD, 48% of patients with stage 4 (estimated glomerular filtration rate [eGFR] 15-29) and 63% with stage 5 (eGFR <15) reported having CKD. In multivariable analysis, factors significantly associated with patient self-report of CKD included advanced CKD stage, other race (nonwhite, non-African American), and increasing Mini-Mental State Exam score (all P?

SUBMITTER: Saunders MR 

PROVIDER: S-EPMC4560972 | biostudies-literature | 2015 Sep

REPOSITORIES: biostudies-literature

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Hospitalized patients frequently unaware of their chronic kidney disease.

Saunders Milda R MR   Kim Sharon Dahei SD   Patel Nisha N   Meltzer David O DO   Chin Marshall H MH  

Journal of hospital medicine 20150526 9


Prior studies have found that outpatients are frequently unaware of their chronic kidney disease (CKD). Little is known about CKD awareness in hospitalized patients. We conducted a retrospective study of general medicine inpatients with CKD, ascertained through International Classification of Diseases, Ninth Revision codes for non-dialysis-dependent CKD (585.0-585.9) in their first 20 admission diagnoses (n = 590). Patient awareness of their CKD, defined as correct patient self-report of "kidney  ...[more]

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