Referral, monitoring, and factors associated with non-referral of chronic kidney disease in Germany: a nationwide, retrospective cohort study.

ABSTRACT:

Background

Chronic kidney disease (CKD) is one of the most significant drivers of the global burden of disease and an increasing public health issue. Adequate monitoring and referral of high-risk patients to nephrologists are associated with improved management of CKD. We aimed to assess nephrology referral rates, monitoring of kidney function, and factors associated with failure to refer in Germany.

Methods

We retrospectively analyzed ambulatory claims data of 73,675,956 German patients who were covered by statutory health care in 2022, building a cohort of 1,301,122 patients who had at least two diagnoses of CKD stage 3-5 within the calendar year. In our analysis, we focused particularly on patients with CKD stage 4.

Findings

We identified 207,043 patients with CKD

SUBMITTER: von Samson-Himmelstjerna FA 

PROVIDER: S-EPMC11670680 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature