Limited knowledge of chronic kidney disease among primary care patients – a cross-sectional survey

BMC Nephrology

Terence Yi-shern Kee²  Crystal Lim¹  Gilbert Choon Seng Tan³  Paul Soo Chye Goh⁶  Stephanie Swee Hong Teo⁷  Teck Sin Swah⁷  Jeremy Fung Yen Lim⁵  Saskia van der Erf⁴  Aung Soe Tin⁸  Veena D Joshi⁸  Wai Leng Chow⁸ 

[1] Singapore General Hospital, Singapore, Singapore;Department of Renal Medicine, Singapore General Hospital, Singapore, Singapore;SingHealth Polyclinics, Geylang, Singapore, Singapore;Department of Strategic Research, National Health Insurance Fund France, Paris, France;Lien Centre for Palliative Care, Duke-NUS, Singapore, Singapore;SingHealth Polyclinics, Tampines, Singapore, Singapore;SingHealth Polyclinics, Bedok, Singapore, Singapore;Centre for Health Services Research, Singapore Health Services, 168 Jalan Bukit Merah, #06-08 Tower 3, Singapore, 150169, Singapore

关键词: Primary care;    Influencing factors;    General knowledge;    Chronic kidney disease;   

Others  :  1083159
DOI  :  10.1186/1471-2369-13-54

 received in 2011-10-21, accepted in 2012-07-02,  发布年份 2012

【 摘 要 】

Background

Kidney disease is the 9th leading cause of death in Singapore. While preventive effects have focused on early detection and education, little is known about the knowledge level of chronic kidney disease (CKD) locally. We seek to evaluate the knowledge of CKD among primary care patients.

Methods

We conducted a cross-sectional survey of a convenience sample of 1520 patients from 3 primary care centers. Those with existing CKD or on dialysis were excluded. Knowledge was assessed based on 7 questions on CKD in the self-administered questionnaire. One point was given for each correct answer with a maximum of 7 points.

Results

1435 completed all 7 questions on CKD. Mean age was 48.9 ±15.0 (SD) years. 50.9% were male. 62.3% had a secondary and below education and 52.4% had a monthly household income of ≤ $2000. 43.7% had chronic diseases. Mean score was 3.44 ± 1.53 (out of a maximum of 7). Median score was 4. In multivariate logistic regression, being older {>60 years [Odds Ratio (OR) 0.50, 95% Confidence Interval (CI) 0.32-0.79]; 40–60 years (OR 0.62, 95% CI 0.43,0.89)}, less educated [up to primary education (OR 0.33, 95% CI 0.22-0.49)], having a lower monthly household income [

Conclusion

This suggests that CKD education should be targeted at older patients with lower education and lower socioeconomic status.

【 授权许可】

   
2012 Chow et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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