Delphine S. Tuot|Karen K. Wong|Alexandra Velásquez|Deidra C. Crews|Alan B. Zonderman|Michele K. Evans|Neil R. Powe
CKD Awareness in the General Population: Performance of CKD-Specific Questions
San Francisco General Hospital|University of California, San Francisco|Touro University California|San Francisco General Hospital|University of California, San Francisco|Johns Hopkins Medicine|Johns Hopkins University|National Institute on Aging|National Institutes of Health|National Institute on Aging|National Institutes of Health|San Francisco General Hospital|University of California, San Francisco
rationale objectivedata patients one delivery system suggested prevalence chronic kidney disease ckd awareness differs question asked examined sensitivity specificity different ckd awareness questions among diverse communitydwelling adults necessarily engaged primary care determine generalizability prior resultsstudy designcrosssectional studysetting participantsparticipants healthy aging neighborhoods diversity across life span handls studypredictorckd awareness ascertained using 5 different questionsoutcomesensitivity specificity awareness question using laboratory results gold standardanalytic approachlogistic regression used compare sensitivities different awareness questionsresultsamong 2046 participants mean sd age 565 91 years 415 men 613 african american 40 poor 35 reported health insurance 169 low health literacy 20 n 424 ckd sensitivities single ckd awareness questions ranged 22 kidney damage 52 kidney problem sensitivity compound question asking weak kidneys failing kidneys kidney disease 195 sensitivity compound ckd awareness question higher among study participants advanced ckd low health literacy lived poverty levellimitationssingle measures estimated glomerular filtration rate albuminuria study participants may engaged health care average us adult potentially limiting generalizability resultsconclusionsckd awareness low among communitydwelling adults kidney disease though data using sensitive compound question ascertaining awareness suggest met healthy people 2020 goal related ckd awareness 134 understanding phrases kidney disease understandable patients risk ckd important increase ckd awareness data patients one delivery system suggested prevalence chronic kidney disease ckd awareness differs question asked examined sensitivity specificity different ckd awareness questions among diverse communitydwelling adults necessarily engaged primary care determine generalizability prior results crosssectional study participants healthy aging neighborhoods diversity across life span handls study ckd awareness ascertained using 5 different questions sensitivity specificity awareness question using laboratory results gold standard logistic regression used compare sensitivities different awareness questions among 2046 participants mean sd age 565 91 years 415 men 613 african american 40 poor 35 reported health insurance 169 low health literacy 20 n 424 ckd sensitivities single ckd awareness questions ranged 22 kidney damage 52 kidney problem sensitivity compound question asking weak kidneys failing kidneys kidney disease 195 sensitivity compound ckd awareness question higher among study participants advanced ckd low health literacy lived poverty level single measures estimated glomerular filtration rate albuminuria study participants may engaged health care average us adult potentially limiting generalizability results ckd awareness low among communitydwelling adults kidney disease though data using sensitive compound question ascertaining awareness suggest met healthy people 2020 goal related ckd awareness 134 understanding phrases kidney disease understandable patients risk ckd important increase ckd awareness