Data from: Provision of care for chronic kidney disease by non-nephrologists in a developing nation: a national survey

Objectives The prevalence of chronic kidney disease (CKD) in developing countries has increased dramatically. This study aimed to explore the practice patterns of non-dialysis-dependent CKD care in an affluent developing country. Settings Primary and specialised healthcare facilities of public and private sectors in the United Arab Emirates. Participants 159 non-nephrologist physicians practising in the United Arab Emirates. Interventions A 28-item online self-administered questionnaire based on CKD clinical practice guidelines. Primary and secondary outcome measures The physicians' approach to identifying and managing patients with CKD. Results The survey was completed by 159 non-nephrologists, of whom 135 reported having treated patients with CKD. Almost all the respondents screen patients with hypertension and diabetes for CKD, but one-third of them do not screen patients with cardiovascular disease and elderly patients for CKD. The use of accurate CKD screening tests (estimated glomerular filtration rate and albumin/creatinine ratio) was suboptimal (77% and 59% of physicians used the procedures, respectively). One-third of the physicians do not offer treatment with inhibitors of the renin–angiotensin system to patients with CKD, and only 66% offer antilipid treatment. In general, the primary healthcare physicians are more familiar than secondary healthcare physicians with the diagnosis and management of patients with CKD. Conclusions We identified substantial physician-declared deficiencies in the practice of identifying and managing early CKD. Integration of quality CKD care within the healthcare system is required to face the increasing burden of CKD in the United Arab Emirates and possibly in other developing nations.研究目的：慢性肾脏病（CKD）在发展中国家的患病率已显著升高。本研究旨在探索某富裕发展中国家的非透析依赖性慢性肾脏病诊疗实践模式。 研究场所：阿拉伯联合酋长国（阿联酋）公立与私立部门的基层及专科医疗卫生机构。 研究对象：在阿联酋执业的159名非肾内科医师。 研究工具：采用基于慢性肾脏病临床实践指南的28条目线上自填式问卷开展调查。 主要与次要结局指标：医师对慢性肾脏病患者的识别与诊疗方案。 研究结果：本次调查共回收159份非肾内科医师问卷，其中135名医师报告曾接诊慢性肾脏病患者。几乎所有受访者均会对高血压与糖尿病患者进行慢性肾脏病筛查，但三分之一的受访者未对心血管疾病患者及老年患者开展慢性肾脏病筛查。精准慢性肾脏病筛查检测方法（估算肾小球滤过率与尿白蛋白/肌酐比值）的应用情况欠佳，分别仅有77%与59%的医师采用了上述检测手段。三分之一的医师未为慢性肾脏病患者开具肾素-血管紧张素系统抑制剂治疗方案，仅66%的医师会给予调脂治疗。总体而言，基层医疗医师较二级医疗医师对慢性肾脏病患者的诊断与诊疗更为熟练。 研究结论：本研究发现，医师在早期慢性肾脏病的识别与诊疗实践中存在显著不足。为应对阿联酋乃至其他发展中国家日益加重的慢性肾脏病疾病负担，亟需在医疗体系中整合高质量的慢性肾脏病诊疗服务。