Guideline Concordance of Chronic Kidney Disease Testing Remains Low in Patients with Diabetes and Hypertension: Real-World Evidence from a City in Northwest China.

ABSTRACT:

Introduction

This study aimed to evaluate the guideline concordance of chronic kidney disease (CKD) testing among high-risk patients in a city in Northwest China and identify key factors influencing testing practices.

Methods

A retrospective cohort study was conducted using electronic health records data across Weinan city. The study included 202,847 adult patients diagnosed with diabetes and/or hypertension, excluding those with known CKD at baseline. Considering albuminuria test is not available in Weinan city, guideline-concordant CKD testing in this study was defined as conducting annual tests for both estimated glomerular filtration rate (eGFR) and proteinuria throughout the follow-up period, with the endpoint being the incidence of CKD or mortality. A Cox regression mo

SUBMITTER: Wu J 

PROVIDER: S-EPMC12503737 | biostudies-literature | 2025 Jan-Dec

REPOSITORIES: biostudies-literature