128 KB31 KB199420252024Homar, VesnaPetek Šter, MarijaRotar-Pavlič, Danicaštevilka:4letnik:63str. 289-299ISSN:0025-8121DOI:10.61300/mr6304aaaCOBISSID:224125955URN:URN:NBN:SI:doc-C6VTIV2YslMedicinski razglediMedicinski razgledialbuminurijadiagnostična potdružinska medicinakronična ledvična bolezenneintervencijska prevalenčna raziskavaKronična ledvična bolezen v ambulantah družinske medicine| Chronic kidney disease in family medicine practices|BACKGROUNDS. Chronic kidney disease is a public health problem. In family medicine practices, the diagnosis of chronic kidney disease is rarely identified as the main reason for treatment. The aim of the study was to determine the proportion of people with recognised chronic kidney disease and to make suggestions for improving the recognition of people with chronic kidney disease in family medicine practices in Slovenia. METHODS. We conducted a non-interventional cross-sectional study in 38 family medicine teaching practices. Results were collected by students and their tutors during the Primary Health Care course for the 6th year students of the Faculty of Medicine at the University of Ljubljana. Students collected information on risk factors for chronic kidney disease and potential comorbidities for 30 consecutive family medicine outpatient clinic attendees who agreed to participate in the study. Then, they supplemented the patients’ information with data from their medical records. The data was anonymised for statistical analysis. RESULTS. 38 family medicine practices and 1,146 patients participated in the study. 14.5% of patients had no risk factors for chronic kidney disease. Renal function was determined in 896 (78.2%) practice visitors, whose average age was 64.6 ± 15.4 years. Chronic kidney disease was present in 23.3% of the subjects and was noted in the medical documentation in 13.4%. Albuminuria could be determined in 428 (37.5%) practice attendees in 14 practices. DISCUSSION. In the future, it is imperative to improve the awareness of healthcare professionals about the prevalence and significance of chronic kidney disease, and to improve the diagnostic pathway at the primary level by enabling albuminuria measurement at the primary levelIZHODIŠČA. Kronična ledvična bolezen predstavlja resno javnozdravstveno težavo. V ambulantah družinske medicine je diagnoza kronična ledvična bolezen redko opredeljena kot osnovni razlog obravnave. Namen raziskave je bil oceniti, v kolikšnem deležu prepoznavamo osebe s kronično ledvično boleznijo, in podati predloge za izboljšanje prepoznave oseb z omenjenim obolenjem v ambulantah družinske medicine v Sloveniji. METODE. Presečno, neintervencijsko raziskavo smo izvedli v 38 učnih ambulantah Medicinske fakultete Univerze v Ljubljani v sklopu predmeta Primarno zdravstveno varstvo, ki poteka za študente šestega letnika medicine. Študenti so za 30 zaporednih obiskovalcev ambulante družinske medicine, ki so privolili v sodelovanje v raziskavi, zbrali podatke o dejavnikih tveganja za kronično ledvično bolezen in o morebitnih pridruženih boleznih ter informacije dopolnili s podatki iz dokumentacije. Za statistično analizo so bili podatki anonimizirani. REZULTATI. V raziskavi je sodelovalo 38 ambulant družinske medicine in 1.146 preiskovancev. 14,5 % preiskovancev ni imelo niti enega dejavnika tveganja za kronično ledvično bolezen. Ledvično delovanje je bilo določeno pri 896 (78,2%) obiskovalcih ambulante, ki so bili v povprečju stari 64,6 ± 15,4 leta. Kronična ledvična bolezen je bila prisotna pri 23,3 % preiskovancev, pri 13,4 % pa zabeležena v medicinski dokumentaciji. Albuminurijo je bilo mogoče določiti za 428 (37,5 %) obiskovalcev v 14 ambulantah. RAZPRAVA. V prihodnje je nujno treba izboljšati ozaveščenost zdravstvenih delavcev o pogostosti in pomenu kronične ledvične bolezni ter izboljšati možnosti diagnostike na primarni ravni z dostopnostjo določanja albuminurijeTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaDruštvo Medicinski razgledi