chronic kidney disease
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Diabetes Mellitus (diagnosis or prescription for the disease based on the NHG guidelines) Adipositas (diagnosis) Hypertension (diagnosis or prescription for the disease based on the NHG guidelines) Cardiovascular disease (diagnosis, specified in protocol section 4.2.2) Lipid disorder (diagnosis or prescription for the disease based on the NHG guidelines) Age 45-80 years
Exclusion criteria
Exclusion criteria: Pregnancy Inability to write or understand the informed consent form Known normal (
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Elevated albuminuria, defined as a urinary albumin creatinine ratio (UACR) >= 3.0 mg/mmol. 2. Average screening costs per subject that was identified as having elevated albuminuria. All costs considered are mentioned in chapter 8.1.1. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Unrecognized chronic kidney disease, defined as elevated albuminuria, not reported by the subject or previously recorded in electronic medical records of the subjects* general practice or pharmacy. 2. Persistent elevated albuminuria, defined as elevated albuminuria persisting despite good adherence (score 4 (=doses seldom missed) or 5 (= doses never missed) reported in MARS) to treatment with RAS-inhibitors for at least 6 weeks prior to elevated albuminuria assessment 3. Change in frequency of cardiovascular risk factor monitoring, defined as the difference between the frequency of cardiovascular risk factor monitoring in participants 3 years before and 6 months after targeted albuminuria screening. 4. Changes in cardiometabolic drug prescriptions, defined as changes in any prescription for cardiovascular disease or CKD 6 months after targeted albuminuria screening compared to three years before. | — |
Countries
Netherlands