Delphine S. Tuot|Laura Plantinga|Chi?yuan Hsu|Regina Jordan|Nilka R??os Burrows|Elizabeth Hedgeman|Jerry Yee|Rajiv Saran|Neil R. Powe
Chronic Kidney Disease Awareness Among Individuals with Clinical Markers of Kidney Dysfunction
University of California, San Francisco|San Francisco General Hospital|University of California, San Francisco|University of California, San Francisco|Centers for Disease Control and Prevention|Centers for Disease Control and Prevention|University of Michigan–Ann Arbor|Henry Ford Hospital|University of Michigan–Ann Arbor|San Francisco General Hospital|University of California, San Francisco
summary background objectives awareness chronic kidney disease ckd among providers patients low whether clinical cues prompt recognition ckd unknown examined whether markers kidney disease trigger ckd recognition among providers associated higher individual ckd awareness design setting participants amp measurements ckd awareness assessed 1852 adults estimated gfr lt60 mlmin per 173 2 using 1999 2008 national health nutrition examination survey data ckd awareness yes answer ever told weak failing kidneys participants grouped distribution following abnormal markers ckd hyperkalemia acidosis hyperphosphatemia elevated blood urea nitrogen anemia albuminuria uncontrolled hypertension odds ckd awareness associated abnormal marker groupings markers estimated multivariable logistic regression results among individuals kidney disease albuminuria greater odds ckd awareness adjusted odds ratio 40 p lt 001 without odds ckd awareness increased additional manifested clinical marker ckd adjusted odds ratio 13 p 005 nonetheless 90 individuals two four markers ckd 84 individuals 5 markers ckd unaware disease conclusions although individuals manifest many markers kidney dysfunction likely aware ckd ckd awareness remains low better understanding mechanisms awareness required facilitate earlier detection ckd implement therapy minimize associated complications