Raquel C. Greer|Lisa A. Cooper|Deidra C. Crews|Neil R. Powe|L. Ebony Boulware
Quality of Patient-Physician Discussions About CKD in Primary Care: A Cross-sectional Study
Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Welch Foundation|Johns Hopkins Medicine|Johns Hopkins University|San Francisco General Hospital|University of California, San Francisco|Johns Hopkins Medicine|Johns Hopkins University|Welch Foundation
quality patientphysician discussions chronic kidney disease ckd primary care studied previouslycrosssectional studywe audiotaped encounters 236 patients hypertension primary care physicians n 40patient physician encounter characteristicswe described occurrence characteristics content use technical terms physician assessment patient comprehension new concepts ckd discussions assessed patient physician characteristics associated ckd discussion occurrencemany patients mean age 59 years uncontrolled hypertension 51 diabetes 44 andor 3 comorbid conditions 51 primary care physicians practiced 52 fewer 10 years ckd discussions occurred 26 n 61 encounters content focused laboratory assessment 89 riskfactor treatment 28 causes 26 ckd encounters included ckd discussion physicians used technical terms 28 n 17 rarely assessed patients comprehension 2 n 1 ckd discussions statistically significantly less common visits patients vs college education 023 95 ci 009056 3 vs fewer comorbid conditions 049 95 ci 025096 saw physicians vs fewer 10 years practice experience 041 95 ci 021080 ckd discussions common longer encounters 131 95 ci 104165 encounters diabetes vs discussed 287 95 ci 122677generalizability findings may limitedpatientphysician discussions ckd highrisk primary care patients infrequent physicians used technical terms infrequently assessed patients understanding new ckd concepts efforts improve frequency content patientphysician ckd discussions primary care could improve patients clinical outcomes