Optimising care for patients with CKD
Chronic Kidney Disease (CKD) is a common comorbidity in general practice and there are numerous interventions which can help delay the progression of CKD and need for renal replacement therapy. However, in the busy day to day of general practice it can be challenging to ensure that our CKD patients have had their required monitoring are on the optimal medical management to reduce their risks. There is also a significant proportion of people with undiagnosed CKD and the impacts of this can be dramatic, with one study showing that lacking a coded diagnosis of CKD in the GP record was associated with an 8x increase in the likelihood of requiring unplanned dialysis.
We have developed the CEG APL-Renal Tool with input from the renal team at Bart’s Health NHS Trust, which is designed to be used alongside EMIS to put the information you need to diagnose and make decisions about optimal management of CKD in one, quick and easy to use place. Using an EMIS search and line report, it exports up to date patient information from EMIS and into the tool. It allows for easy visualisation of patients who have had recent renal function bloods which within the CKD ranges, prioritised by those with the largest fall in their eGFR, to quickly and easily identify significant deteriorations. Individual patient details can then be expanded to include important parameters for renal disease management, such as previous eGFR values, blood pressure, urine albumin creatinine ratio, antihypertensives, SGLT2 inhibitors and more.
This talk is an opportunity to see how the tool as well as CEG LTC templates are being used in North East London to optimise care for our patients with CKD.