Reasons for choice of guideline topics.
| Topic for module | Reasons | Guidelines available |
|---|---|---|
| Chronic kidney disease stage 3 in adults | Recently introduced into the Quality and Outcomes Framework (QOF) for the GP contract.16 | Chronic kidney disease in adults: UK guidelines for identification, management and referral.20 |
| New laboratory reporting recently introduced in UK. | ||
| Personal communication from GPs, nurse practitioners, and nephrologists suggest that optimal management in primary care has not yet been achieved. | ||
| As the introduction of laboratory testing to detect chronic kidney disease stage 3 is recent in the UK, publications on compliance with guidelines are lacking | ||
| Coeliac disease in adults | Evidence suggests it is under-diagnosed.21 | Guidance for the management of patients with coeliac disease.22 |
| Many practices do not have structured follow-up for patients with coeliac disease. | The management of adults with coeliac disease in primary care.23 | |
| Significant health gains would result from developing practice monitoring protocols | ||
| Urinary tract infection in adults | An informal significant event analysis, performed at a meeting of GPs and practice nurses, demonstrated that the majority of participants were not following guideline recommendations; the majority were over-prescribing. | Management of suspected bacterial urine infection in adults.24 |
| At least one Scottish laboratory is seeing a year-on-year increase in catheter specimens of urine (personal communication) | ||