141821 - check, unit 554, Renal problems, October 2018
- : Online
This edition of check focuses on the assessment and management of renal problems in general practice.Relevance to General Practice
An estimated 1.7 million Australians have indicators of kidney disease such as albuminuria or reduced kidney function. In 2013–14, 0.4 out of 100 general practice presentations related to chronic kidney disease (CKD). The most frequent cause of CKD is diabetes mellitus, followed by glomerulonephritis and hypertension. Approximately 50% of patients with type 2 diabetes mellitus have CKD. One form of kidney injury that can lead to CKD is analgesic nephropathy. Several decades ago, analgesic nephropathy accounted for 15–20% of cases of end-stage renal failure; although this has fallen to 1%, the effect of analgesics remains an important consideration in kidney failure. The incidence of acute kidney injury (AKI) is on the rise and prevalence increases with age, with AKI leading to 18,010 hospitalisations in 2012–13.6 AKI results in approximately 4,670 deaths per year. Urolithiasis affects up to 8% of females and 15% of males, and many patients initially present to a GP.
References on file