Abstract
Data are scant regarding access to health care in patients with chronic kidney disease (CKD). We performed descriptive analyses using data from the National Kidney Foundation's Kidney Early Evaluation Program (KEEP), a nationwide health screening program for adults at high risk of CKD. From 2000-2010, a total of 122,502 adults without end-stage renal disease completed KEEP screenings; 27,927 (22.8%) met criteria for CKD (10,082, stages 1-2; 16,684, stage 3; and 1,161, stages 4-5). CKD awareness, self-rated health status, frequency of physician visits, difficulty obtaining medical care, types of caregivers, insurance status, and medication coverage and estimated costs were assessed. Participants with CKD were more likely to report fair/poor health status than those without CKD. Health care utilization increased at later CKD stages; ~95% of participants at stages 3-5 had visited a physician during the preceding year compared with 83.7% of participants without CKD. More Hispanic and African American than white participants at all CKD stages reported not having a physician. Approximately 40% of participants younger than 65 years reported fair/poor health status at stages 4-5 compared with ~30% who were 65 years and older. Younger p...Continue Reading
References
Aug 17, 1999·Archives of Internal Medicine·J S KropF L Brancati
Nov 30, 2000·Journal of the American Society of Nephrology : JASN·Annamaria T KauszBrian J G Pereira
Sep 17, 2002·Annals of Internal Medicine·Kraig S KinchenNeil R Powe
Jun 28, 2003·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Wendy Weinstock BrownJohn M Flack
Mar 1, 2005·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Jean-Pierre WautersEberhard Ritz
Nov 24, 2006·Mayo Clinic Proceedings·Gary L Schwartz, Stephen C Textor
May 15, 2007·Social Science & Medicine·Sharon Stein MerkinNeil R Powe
Jul 30, 2008·American Journal of Nephrology·William M McClellanDavid G Warnock
Nov 13, 2008·Archives of Internal Medicine·Laura C PlantingaNeil R Powe
Nov 29, 2008·American Journal of Nephrology·Marcus AlexanderDenise Globe
Jan 27, 2009·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Michael F FlessnerErrol Crook
Mar 3, 2009·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Mark RutkowskiPeter Crooks
May 6, 2009·Annals of Internal Medicine·Andrew S LeveyUNKNOWN CKD-EPI (Chronic Kidney Disease Epidemiology Collaboration)
May 23, 2009·Diabetes Care·Michael M Ward
Jun 10, 2009·Journal of General Internal Medicine·Yoshio N HallAnn M O'Hare
Mar 5, 2010·Clinical Journal of the American Society of Nephrology : CJASN·Yoshio N HallAndrew B Bindman
Mar 25, 2010·JAMA : the Journal of the American Medical Association·Brenda R HemmelgarnUNKNOWN Alberta Kidney Disease Network
Mar 26, 2010·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Ming-Yen LinHerng-Chia Chiu
Apr 1, 2010·Clinical Nephrology·S D NavaneethanS E Liebman
Jun 19, 2010·Journal of the American Society of Nephrology : JASN·Suma PrakashAnn M O'Hare
Aug 7, 2010·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Kira EvansL Ebony Boulware
Jan 8, 2011·Clinical Journal of the American Society of Nephrology : CJASN·Clarissa Jonas DiamantidisL Ebony Boulware
Jan 29, 2011·Clinical Journal of the American Society of Nephrology : CJASN·Elizabeth A BaylissDiane M Lanese
May 28, 2011·Clinical Journal of the American Society of Nephrology : CJASN·David H Smith, Micah L Thorp
Jun 28, 2011·Journal of the American Society of Nephrology : JASN·Carmen A PeraltaMichael Shlipak
Citations
Mar 27, 2013·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Adam T Whaley-ConnellPeter A McCullough
Sep 27, 2013·Kidney International·Manjula Kurella TamuraRajnish L Mehrotra
Feb 22, 2012·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Adam T Whaley-ConnellPeter A McCullough
Apr 30, 2013·Pharmacotherapy·Thomas C DowlingJohn D Sorkin
Aug 23, 2018·Clinical Transplantation·Meera N HarhayRachel E Patzer
Dec 13, 2018·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Chris H L ThioUte Bültmann
Feb 20, 2018·Current Diabetes Reports·O Kenrik DuruKeith Norris
Jul 3, 2013·Clinical Journal of the American Society of Nephrology : CJASN·Priya VartUte Bültmann
Oct 26, 2018·BMC Nephrology·Swati LedererMichael J Fischer
Dec 24, 2018·International Journal of Environmental Research and Public Health·Cindy M PadillaSahar Bayat
Dec 13, 2018·BMC Medical Informatics and Decision Making·Moumita BhattacharyaHagit Shatkay
Jan 18, 2019·Journal of the American Heart Association·Matthew T MeffordPaul Muntner
May 18, 2019·Clinical Journal of the American Society of Nephrology : CJASN·Sri Lekha TummalapalliSalomeh Keyhani
Jan 12, 2019·BMC Nephrology·Clarissa J DiamantidisL Ebony Boulware
Dec 1, 2020·Journal of Managed Care & Specialty Pharmacy·Kerstin FolkertsCsaba P Kovesdy
Jan 21, 2021·BMJ Open·Shu-Fen NiuTzu-Hao Chang
Jan 15, 2021·Journal of the American Society of Nephrology : JASN·Joseph LunyeraClarissa J Diamantidis
Aug 18, 2021·Kidney Medicine·Chi D ChuDelphine S Tuot