ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 87
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Improving CKD outcomes in general practice: Team-based
education and use of practice data
Dr Christopher Bollen1,2, Claire Sheeky2
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BMP Healthcare Consulting, 2Kidney Health Australia
Chronic kidney disease (CKD) affects 10% of adult Australians, causing significant health problems
and putting a strain on the healthcare system. CKD is linked to other risk factors, such as diabetes and
high blood pressure, making it important to manage these conditions. An annual kidney health check
is recommended for those at risk. Early detection of CKD can slow the progression of the disease
by up to 50% and improve overall outcomes. However, a study found that only 20% of patients with
laboratory evidence of CKD had received a diagnosis from their GP.
To address this gap in care, a trial clinical audit program was developed and delivered for 11 general
practices in Australia. The dual aims were to improve the coding of CKD in medical software and to
assess the program as an acceptable continuing professional development (CPD) activity for GPs
in light of upcoming CPD changes. The program received positive feedback from 100% of the GPs
completing the audit, as they found it relevant to their everyday practice and a valuable opportunity
for the whole practice team to discuss CKD care and provide feedback on improving their systems.
However, two of 11 practices were unable to complete the program due to COVID-related challenges.
Other key findings:
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The prevalence of CKD in practice populations was underestimated by most clinicians.
CKD risk factors were more common in the practice population than expected (over 50% of each
practice’s active adult population had at least one risk factor).
Low level of coding for CKD is a major safety and quality risk in general practice because
prescribing safety relies on the coding to occur before renal issues are altered to the GP by the
clinical software.
Attention to CKD management goals improved when reviewing practice data.
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