Delphine S. Tuot|Yunnuo Zhu|Alexandra Velásquez|Juan Gabriel Espinoza|Claudia Mendez|Tanushree Banerjee|Chi-yuan Hsu|Neil R. Powe
Variation in Patients’ Awareness of CKD according to How They Are Asked
Épidémiologie Clinique, Évaluation Économique Appliquées aux Populations Vulnérables|Épidémiologie Clinique, Évaluation Économique Appliquées aux Populations Vulnérables|University of California, San Francisco|Épidémiologie Clinique, Évaluation Économique Appliquées aux Populations Vulnérables|University of California, San Francisco|Épidémiologie Clinique, Évaluation Économique Appliquées aux Populations Vulnérables|University of California, San Francisco
awareness ckd necessary patient engagement adherence medical regimens accurate tool assess awareness important use national health nutrition examination survey nhanes ckd awareness question ever told doctor health professional weak failing kidneys excluding kidney stones bladder infections incontinence produces surprisingly low measures ckd awareness sought compare sensitivity specificity different questions ascertaining awareness ckd health conditionsbetween august 2011 august 2014 inperson questionnaire administered 220 adults ckd diabetes hypertension hyperlipidemia received primary care public health care delivery system ascertain awareness condition ckd awareness measured using nhanes question questions asking patients knew kidney disease protein urine kidney problem kidney damage demographic data selfreported health literacy measured sensitivity specificity question calculated using medical record gold standardin diverse population 96 white 406 black 365 hispanic 123 asian mean age 58 years 30 nonenglish language preference 45 low health literacy eighty percent participants ckd mean egfr 472 mlmin per 173 m2 sensitivities ckd awareness question 264 kidney damage 277 kidney disease 332 weak failing kidneys 398 protein urine 401 kidney problem specificities ranged 822 976 best twoquestion combination yielded sensitivity 531 specificity 833 lower awareness hypertension 901 diabetes 918ckd awareness low compared chronic diseases regardless ascertained nevertheless sensitive questions ascertain ckd awareness suggest current underascertainment