Please use this identifier to cite or link to this item:
https://doi.org/10.3399/BJGPO.2021.0155
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dc.title | Nephrologist referrals of elderly CKD patients in Singapore: A cross-sectional study. | |
dc.contributor.author | Tan, Wei Beng | |
dc.contributor.author | Szücs, Anna | |
dc.contributor.author | Burkill, Sarah M | |
dc.contributor.author | Ong, Shih Hui | |
dc.contributor.author | Young, Doris | |
dc.contributor.author | Goh, Lay Hoon | |
dc.date.accessioned | 2022-07-15T07:56:17Z | |
dc.date.available | 2022-07-15T07:56:17Z | |
dc.date.issued | 2022-03-22 | |
dc.identifier.citation | Tan, Wei Beng, Szücs, Anna, Burkill, Sarah M, Ong, Shih Hui, Young, Doris, Goh, Lay Hoon (2022-03-22). Nephrologist referrals of elderly CKD patients in Singapore: A cross-sectional study.. BJGP Open : BJGPO.2021.0155-. ScholarBank@NUS Repository. https://doi.org/10.3399/BJGPO.2021.0155 | |
dc.identifier.issn | 2398-3795 | |
dc.identifier.uri | https://scholarbank.nus.edu.sg/handle/10635/228682 | |
dc.description.abstract | BACKGROUND: Chronic kidney disease (CKD) is common in the elderly population. By 2035, approximately one-quarter of Singapore residents are expected to have CKD. Many of these patients are not referred to nephrologists. AIM: We aimed to compare the characteristics of elderly (≥ 65 years old) patients with stage 3B CKD and above in the referral and non-referral groups. DESIGN AND SETTINGS: A cross-sectional study in the primary care organisation National University Polyclinics (NUP), Singapore. METHOD: Retrospective data were extracted from the electronic health records of CKD patients (≥ 65 years old) with stage 3B CKD and above. RESULTS: From 1 January to 31 December 2018, a total of 1,536 patients aged 65 years or older were diagnosed with stage 3B CKD or above (non-referral group =1,179 vs. referral group =357). The mean patient age in the non-referral group (78.3 years) was older than that in the referral group (75.9 years) (P<0.001). Indian elderly patients were referred more compared to their Chinese counterparts (P=0.008). The non-referral group was prescribed significantly less fibrate, statins, insulin, sulfonylureas, dipeptidyl peptidase-4 inhibitors, and antiplatelet than the referral group (P<0.05), but only the difference in fibrates remained significant on subsequent multivariate analysis. CONCLUSIONS: This study demonstrates that there is a considerable number of elderly CKD patients exclusively managed in the primary care setting (n = 1,179) and that referrals primarily depend on demographic factors, namely age and ethnicity, rather than medical determinants of CKD severity or case complexity. | |
dc.publisher | Royal College of General Practitioners | |
dc.source | Elements | |
dc.subject | CKD | |
dc.subject | elderly | |
dc.subject | family medicine | |
dc.subject | nephrology | |
dc.subject | population health | |
dc.subject | primary health care | |
dc.subject | referral | |
dc.type | Article | |
dc.date.updated | 2022-07-14T03:37:19Z | |
dc.contributor.department | MEDICINE | |
dc.description.doi | 10.3399/BJGPO.2021.0155 | |
dc.description.sourcetitle | BJGP Open | |
dc.description.page | BJGPO.2021.0155- | |
dc.published.state | Published | |
Appears in Collections: | Staff Publications Elements |
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