背景:终末期肾病在美国某些高危人群中流行。国家肾脏疾病教育计划检查了治疗高危人群的初级保健医生对慢性肾脏疾病(CKD)危险因素的认识,比如非洲裔美国人,糖尿病患者,高血压患者,以及透析患者的家属。
方法:我们对4个高危人群社区的465名初级保健医生进行了调查。受访者被要求在从“完全不增加风险”到“大大增加风险”的4分量表上对9个潜在的CKD风险因素进行评分。“潜在的危险因素包括非裔美国人种族,糖尿病,高血压,CKD家族史。
结果:受访者平均为414+/-222(SD)患者/mo。初级保健医生更有可能报告糖尿病和高血压是CKD的重要危险因素。相反,34.4%的人认为肾病家族史不会增加CKD的风险,22%的受访者不认为非裔美国人种族是CKD的危险因素.
结论:初级保健医生需要有针对性的教育,以提高对CKD高危人群的认识。
BACKGROUND: End-stage renal disease is epidemic within the United States among certain high-risk groups. The National Kidney Disease Education Program examined the awareness of chronic kidney disease (CKD) risk factors among primary care physicians who treat high-risk populations, such as African Americans, persons with diabetes, persons with hypertension, and family members of dialysis patients.
METHODS: We conducted a survey of 465 primary care physicians in 4 communities with high-risk populations. Respondents were asked to score 9 potential CKD risk factors on a 4-point scale graded from \"Does not increase risk at all\" to \"Increases risk greatly.\" Potential risk factors included African-American race, diabetes, hypertension, and family history of CKD.
RESULTS: Respondents saw a mean of 414 +/- 222 (SD) patients/mo. Primary care physicians were more likely to report that diabetes and hypertension were significant risk factors for CKD. Conversely, 34.4% did not consider family history of kidney disease to increase the risk for CKD, and 22% of respondents did not consider African-American race a CKD risk factor.
CONCLUSIONS: Primary care physicians need targeted education to increase awareness of populations at high risk for CKD.