Age group | Age, years | Latest eGFR, mL/min/1.73 m2 | Previous eGFR, mL/min/1.73 m2 | Referred? | Reflection comment | Theme |
---|---|---|---|---|---|---|
Patients who were younger | 60 | 59 | 75 | Yes | ‘He has been referred to the community CKD clinic. His BP is well controlled on medications’ | Control of risk factors |
46 | 59 | 100 | Yes | ‘Immediate repeat has been request but will refer for safety’ | Refer for safety | |
51 | 47 | 79 | No | ‘Fit healthy relatively young pt,? Why had low eGFR on one occ, repeat is normal’ | No obvious cause | |
57 | 53 | 73 | No | ‘DM — good control, good BP on ACEi — plan is to rpt GFR end June check trajectory’ | Plan in place | |
Patients who were older | 81 | 55 | 71 | No | ‘Did not take into account ethnic origin — recalculated to 65’ | No ethnicity adjustment |
87 | 52 | 71 | No | ‘rpt due’ | Repeat | |
86 | 52 | 73 | No | ‘pt is palliative care, bloods were done routinely by comm matron but not clinically indicated and therefore decision was made not for further action — end stage dementia’ | End of life | |
85 | 54 | 75 | Yes | ‘Will refer/drop unaccounted for’ | Drop unaccounted for | |
84 | 55 | 73 | Yes | ‘eGFR gone down despite well controlled diabetes and BP. Patient is now 84 years old, should we be doing more?’ | Advice sought |
ACEi = angiotensin-converting enzyme inhibitor. BP = blood pressure. CKD = chronic kidney disease. DM = diabetes mellitus. eGFR = estimated glomerular filtration rate. GFR = glomerular filtration rate. occ = occasion. pt = patient. rpt = repeat.