Missed Opportunities for Chronic Kidney Disease Recognition in Irish Primary Care: A Nationwide Electronic Health Record Study

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1. Très proche Même question Pas pertinent

   Multi-level clinical inertia in chronic kidney disease management in primary care: A retrospective cross-sectional analysis of coding, reclassification and risk stratification.

   A. Zafar, C. Scarlata, A. Saeed et al. · 2026 · Primary Care Diabetes · Pas encore résumé

   « Multi-level clinical inertia… » étudie le codage de la MRC et la stratification du risque dans les dossiers de soins primaires, comme cette étude irlandaise.

   Résumé scientifique

   AIMS/HYPOTHESIS Accurate coding, longitudinal stage review and complete risk stratification underpin chronic kidney disease (CKD) care in primary care, especially in people with diabetes, where CKD modifies cardiovascular risk, prescribing safety and referral thresholds. We hypothesised that, beyond well-described inertia in pharmacological treatment intensification, primary care records would also exhibit inertia in diagnostic coding, longitudinal reclassification and albuminuria-based risk stratification, clustering with higher kidney and cardiovascular risk. METHODS We performed a retrospective cross-sectional analysis of adult primary care records with coded CKD. The latest estimated glo…

2. Très proche* Même question Pas pertinent

   Prevalence and Management of Chronic Kidney Disease in Irish Primary Care Network

   B. Jacob, K. Eyers, D. Jin et al. · 2026 · medRxiv · preprint, non relu par les pairs · Pas encore résumé

   « Prevalence and Management… » porte sur la prévalence et la prise en charge de la MRC dans les soins primaires irlandais.

3. Très proche Même question Pas pertinent

   B-285 Underdiagnosis and Gaps in Guideline-Recommended Testing for Chronic Kidney Disease in an Academic Health System: A Population-Based Race, Ethnicity, Language, and Sex Analysis

   Zheng-Chun Lu, Y. Lyu, Siouxzanna Downs et al. · 2026 · Clinical Chemistry · Pas encore résumé

   « B-285… » examine le sous-diagnostic de la MRC et les lacunes de dépistage dans un système de santé, à partir de données de dossiers médicaux.

   Résumé scientifique

   Chronic kidney disease (CKD) is underdiagnosed, and adherence to National Kidney Foundation (NKF) screening recommendations among high-risk patients remains suboptimal. NKF guidelines recommend annual assessment with both estimated glomerular filtration rate (eGFR) and urine albumin-to-creatinine ratio (uACR) among patients with diabetes or hypertension. We evaluated CKD diagnosis, risk burden, and testing gaps using the NKF CKD framework, stratified by race, ethnicity, language, and sex variables. We conducted a retrospective population-based analysis of 407,894 adults aged 18–85 years with at least one clinical encounter in the Oregon Health & Science University (OHSU) health system betwee…

4. Très proche Même question Pas pertinent

   Prevalence, risk factors and renoprotective treatment of chronic kidney disease among internal medicine outpatients at a Central European tertiary care centre: a cross-sectional study

   I. Zahradka, V. Petr, F. Tichanek et al. · 2026 · BMJ Open · Pas encore résumé

   « Prevalence, risk factors… » évalue la prévalence et le sous-diagnostic de la MRC, mais chez des patients ambulatoires d’un centre hospitalier d’Europe centrale.

   Résumé scientifique

   Abstract Objectives To determine the prevalence of chronic kidney disease (CKD) in internal medicine outpatients in a Central European tertiary care setting, identify associated risk factors and assess use and potential impact of renoprotective therapies. We hypothesised that CKD is common, underdiagnosed and undertreated. Design Cross-sectional observational study. Setting Tertiary care outpatient clinics in Central Europe. Participants 1933 adult outpatients at risk for CKD were screened; an expanded cohort of 2903 patients with available laboratory data was included for secondary analyses. Inclusion required assessment of estimated glomerular filtration rate (eGFR) and urine albumin-creat…

5. Proche Contexte plus large Pas pertinent

   Prevalence and significance of family history of kidney disease in the electronic health record in three United States health systems.

   Andrei Bucaloiu, Aditya L. Surapaneni, Sneha S. Mehta et al. · 2026 · Kidney International · Pas encore résumé

   « Prevalence and significance… » analyse la documentation dans les dossiers électroniques, mais porte sur les antécédents familiaux de maladie rénale.

   Résumé scientifique

   INTRODUCTION Family history is a key predictor of chronic kidney disease (CKD) and kidney failure, yet its documentation in electronic health records (EHRs) remains poorly characterized. Here, we examined the prevalence of kidney-related family history across three large United States. health systems and assessed associations with kidney disease outcomes. METHODS We conducted a cross-sectional study of 1,130,961 adults (age 18-80) receiving primary care at Geisinger, New York University Langone Health, and University of Utah Health from 2020-2023. Family history of CKD and kidney failure was ascertained from structured EHR fields and relevant search terms in comments in the family history se…

6. Proche Contexte plus large Pas pertinent

   Ethnic inequalities in kidney function and progression to advanced CKD in T2D: a primary care study

   T. Alobaid, J. Karalliedde, M. O'Connell et al. · 2026 · European Journal of Public Health · Pas encore résumé

   « Ethnic inequalities… » étudie l’évolution de la fonction rénale en soins primaires, en se concentrant sur les trajectoires selon l’origine ethnique.

   Résumé scientifique

   Abstract Background Chronic kidney disease (CKD) is a major complication of type 2 diabetes (T2D) and a key contributor to health inequalities. Patterns of kidney function decline are heterogeneous, yet little is known about how these trajectories differ across ethnic groups in primary care settings. Understanding early divergence in risk is essential for prevention and equitable care. Methods We conducted a retrospective cohort study using Lambeth DataNet, London, UK, including 24,716 adults with T2D and ≥2 eGFR measurements (2004–2018). Group-based trajectory modelling identified distinct kidney function patterns. Multinomial logistic regression examined determinants of trajectory membersh…

7. Proche* Contexte plus large Pas pertinent

   Prevalence of Undertreated CKD among Hospital Inpatients: A Prospective Cross-Sectional Study.

   L. Wynter, Brendan Smyth, John Saunders et al. · 2026 · Kidney360 · Pas encore résumé

   « Prevalence of Undertreated CKD… » porte sur la prise en charge insuffisante de la MRC, mais chez des patients hospitalisés.

8. Proche Contexte plus large Pas pertinent

   Comprehensive trends in Chronic Kidney Disease prevalence and comorbidities across eGFR and albuminuria categories: a 20-year analysis of NHANES data

   Youssef M. K. Farag, Zi-He Zheng, Aqsa H. Dar et al. · 2026 · Renal Failure · Pas encore résumé

   « Comprehensive trends… » analyse la prévalence de la MRC et ses comorbidités à partir de données NHANES, sans se concentrer sur le codage en soins primaires.

   Résumé scientifique

   Abstract Chronic kidney disease (CKD) represents a major public health challenge, contributing to over 1.2 million global deaths annually and ranking as the 12th leading cause of mortality. This study provides a 20-year trend analysis (1999–2018) of CKD prevalence and its associated comorbidities among adults in the United States using the NHANES dataset. Employing the CKD-EPI 2021 equation without the race component, the study revealed a stable CKD prevalence of 20% in adults aged ≥20 years, alongside trends in nine comorbidities. Obesity and diabetes showed significant increases, while hypertension, anemia, hyperkalemia, and cardiovascular disease remained stable. Hypertriglyceridemia and …