Dataset Information

Prevalence and Demographics of CKD in Canadian Primary Care Practices: A Cross-sectional Study.

ABSTRACT:

Introduction

Surveillance systems enable optimal care delivery and appropriate resource allocation, yet Canada lacks a dedicated surveillance system for chronic kidney disease (CKD). Using data from the Canadian Primary Care Sentinel Surveillance Network (CPCSSN), a national chronic disease surveillance system, this study describes the geographic, sociodemographic, and clinical variations in CKD prevalence in the Canadian primary care context.

Methods

This cross-sectional study included 559,745 adults in primary care in 5 provinces across Canada from 2010 through 2015. Data were analyzed by geographic (urban or rural residence), sociodemographic (age, sex, deprivation index), and clinical (medications prescribed, comorbid conditions) factors, using data from CPCSSN and the Canadian Deprivation Index. CKD stage 3 or higher was defined as 2 estimated glomerular filtration rate (eGFR) values of <60 ml/min per 1.73 m² more than 90 days apart as of January 1, 2015.

Results

Prevalence of CKD was 71.9 per 1000 individuals and varied by geography, with the highest prevalence in rural settings compared with urban settings (86.2 vs. 68.4 per 1000). CKD was highly prevalent among individuals with 3 or more other chronic diseases (281.7 per 1000). Period prevalence of CKD indicated a slight decline over the study duration, from 53.4 per 1000 in 2010 to 46.5 per 1000 in 2014.

Conclusion

This is the first study to estimate the prevalence of CKD in primary care in Canada at a national level. Results may facilitate further research, prioritization of care, and quality improvement activities to identify gaps and improvement in CKD care.

SUBMITTER: Bello AK

PROVIDER: S-EPMC6451150 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Prevalence and Demographics of CKD in Canadian Primary Care Practices: A Cross-sectional Study.

Bello Aminu K AK Bello Aminu K AK Ronksley Paul E PE Tangri Navdeep N Kurzawa Julia J Osman Mohamed A MA Singer Alexander A Grill Allan A Nitsch Dorothea D Queenan John A JA Wick James J Lindeman Cliff C Soos Boglarka B Tuot Delphine S DS Shojai Soroush S Brimble Scott S Mangin Dee D Drummond Neil N

Kidney international reports 20190121 4

<h4>Introduction</h4>Surveillance systems enable optimal care delivery and appropriate resource allocation, yet Canada lacks a dedicated surveillance system for chronic kidney disease (CKD). Using data from the Canadian Primary Care Sentinel Surveillance Network (CPCSSN), a national chronic disease surveillance system, this study describes the geographic, sociodemographic, and clinical variations in CKD prevalence in the Canadian primary care context.<h4>Methods</h4>This cross-sectional study in ...[more]

PMID: 30993231

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Dataset Information

Prevalence and Demographics of CKD in Canadian Primary Care Practices: A Cross-sectional Study.

Introduction

Methods

Results

Conclusion

Publications

Prevalence and Demographics of CKD in Canadian Primary Care Practices: A Cross-sectional Study.

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