Scholarlink

Background <p>There is little published evidence regarding the extent to which renal function testing is performed in older Australians, particularly those with dementia.</p> Objectives <p>To examine the prevalence and temporal trends in renal function testing and the factors associated with renal function testing in patients with dementia using Australian general practice data.</p> Methods <p>Ten consecutive cross-sectional analyses were performed to evaluate the proportion of patients aged ≥ 65&#xa0;years with a recorded diagnosis of dementia, along with matched controls, who had renal function tests using estimated glomerular filtration rate (eGFR) within the twelve months of each year from 2011 to 2020.</p> Results <p>Before matching, 24,701 patients (59.2% females) with, and 72,105 patients (59.2% females) without, a recorded diagnosis of dementia were included. Over the study period, renal function testing increased in both groups, although less for the patients with dementia; from 38.6% (95% CI 37.1–40.0%) in 2011 to 41.9% (95% CI 41–42.9%; <i>p</i> for trend &lt; 0.001) in 2020 in the dementia group, and 49% (95% CI 47.6–50.5%) to 60.4% (95% CI 59.5–61.4%; <i>p</i> for trend &lt; 0.001) in the matched controls. Younger patients with dementia (&lt; 85&#xa0;years of age), males, and those with more general practitioner visits in the preceding 12&#xa0;months, hypertension, diabetes, chronic kidney disease, osteoporosis, or pain were most likely to have renal function testing.</p> Conclusion <p>Rates of renal function testing in primary care patients with dementia in Australia were significantly lower than for matched controls, and improved only marginally between 2011 and 2020.</p> Graphical Abstract <p></p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Trends in renal function testing in patients with dementia: a repeated cross-sectional analysis in Australian general practice

  • 期刊论文

  • 发表日期：

    2025年3月19日

查看全文
  • Saad Alhumaid,
  • Woldesellassie M. Bezabhe,
  • Mackenzie Williams,
  • Gregory M. Peterson

摘要

Background

There is little published evidence regarding the extent to which renal function testing is performed in older Australians, particularly those with dementia.

Objectives

To examine the prevalence and temporal trends in renal function testing and the factors associated with renal function testing in patients with dementia using Australian general practice data.

Methods

Ten consecutive cross-sectional analyses were performed to evaluate the proportion of patients aged ≥ 65 years with a recorded diagnosis of dementia, along with matched controls, who had renal function tests using estimated glomerular filtration rate (eGFR) within the twelve months of each year from 2011 to 2020.

Results

Before matching, 24,701 patients (59.2% females) with, and 72,105 patients (59.2% females) without, a recorded diagnosis of dementia were included. Over the study period, renal function testing increased in both groups, although less for the patients with dementia; from 38.6% (95% CI 37.1–40.0%) in 2011 to 41.9% (95% CI 41–42.9%; p for trend < 0.001) in 2020 in the dementia group, and 49% (95% CI 47.6–50.5%) to 60.4% (95% CI 59.5–61.4%; p for trend < 0.001) in the matched controls. Younger patients with dementia (< 85 years of age), males, and those with more general practitioner visits in the preceding 12 months, hypertension, diabetes, chronic kidney disease, osteoporosis, or pain were most likely to have renal function testing.

Conclusion

Rates of renal function testing in primary care patients with dementia in Australia were significantly lower than for matched controls, and improved only marginally between 2011 and 2020.

Graphical Abstract