ABSTRACT
Antecedentes: En el año 2007 la Sociedad Española de Medicina Familiar y Comunitaria (semFYC) y la Sociedad Española de Nefrología (S.E.N.) realizaron un documento de consenso para disminuir la variabilidad en la práctica clínica en la detección, tratamiento y derivación de la enfermedad renal crónica (ERC). Objetivos: Evaluar a los dos años de su publicación el conocimiento, difusión, grado de acuerdo y aplicación del Documento de consenso S.E.N.-semFYC sobre la enfermedad renal crónica. Métodos: Estudio transversal, descriptivo y observacional realizado en 476 médicos, incluyendo médicos de Atención Primaria (AP) y nefrólogos, mediante encuesta de opinión. Resultados: De los 326 médicos de AP y 150 nefrólogos encuestados, 51,1 % y 89,6 % respectivamente conocían el Documento de consenso. El 70,8 % de los nefrólogos lo considera muy necesario, con alto grado de acuerdo con sus contenidos. Los médicos de AP valoran más su utilidad práctica (63,2 % AP vs. 52,1 % nefrólogos). El mayor grado de desconocimiento en AP (> 20 % de los encuestados) incluye recomendaciones sobre la idoneidad del estudio ecográfico en varones con ERC mayores de 60 años y sobre los criterios de derivación a Nefrología. El grado de aplicación de las recomendaciones entre ambos especialistas resulta muy (..) (AU)
Background: In 2007, the Spanish Society of Family and Community Medicine (semFYC) and the Spanish Society of Nephrology (S.E.N.) created a consensus document in order to reduce the variability in clinical practices for the detection, treatment, and referral of cases of chronic kidney disease (CKD). Objectives: To evaluate the level of awareness, dissemination, agreement, and application of the S.E.N.-semFYC consensus document on chronic kidney disease. Method: Ours was a cross-sectional, descriptive, and observational study carried out among 476 primary health care doctors and nephrologists using a survey. Results: Of the 326 primary care doctors and 150 nephrologists surveyed, 51.1% and 89.6% respectively knew of the consensus document. A total of 70.8% of nephrologists considered the document to be highly necessary, and were very much in agreement with the content. Primary care (PC) doctors placed more value on the practical usefulness of the document (63.2% PC vs. 52.1% nephrologists). The sections that reported the greatest level of unfamiliarity among primary care doctors (>20% of those surveyed) included recommendations regarding the suitability of ultrasound examinations in male patients with CKD older than 60 years of age and in regards to the (..) (AU)
Subject(s)
Humans , Renal Insufficiency, Chronic/epidemiology , Early Diagnosis , Practice Patterns, Physicians' , Primary Health Care/methodsABSTRACT
BACKGROUND: In 2007, the Spanish Society of Family and Community Medicine (semFYC) and the Spanish Society of Nephrology (S.E.N.) created a consensus document in order to reduce the variability in clinical practices for the detection, treatment, and referral of cases of chronic kidney disease (CKD). OBJECTIVES: To evaluate the level of awareness, dissemination, agreement, and application of the S.E.N.-semFYC consensus document on chronic kidney disease. METHOD: Ours was a cross-sectional, descriptive, and observational study carried out among 476 primary health care doctors and nephrologists using a survey. RESULTS: Of the 326 primary care doctors and 150 nephrologists surveyed, 51.1% and 89.6% respectively knew of the consensus document. A total of 70.8% of nephrologists considered the document to be highly necessary, and were very much in agreement with the content. Primary care doctors placed more value on the practical usefulness of the document (63.2% AP vs. 52.1% nephrologists).The sections that reported the greatest level of unfamiliarity among primary care doctors (>20% of those surveyed) included recommendations regarding the suitability of ultrasound examinations in male patients with CKD older than 60 years of age and in regards to the criteria for patient referral to the nephrology department. The level of application of the recommendations set forth in the document varied widely between the two specialties, with greater compliance among nephrologists. Age, sex, field of medicine, professional experience, the population treated, and health care workload were not significantly associated with differences in awareness, perceived need, or application of the consensus document. CONCLUSIONS: This survey demonstrates that the level of implementation of the S.E.N.-sem- FYC consensus document for CKD has much room for improvement, above all among primary care physicians. The application of this consensus document can improve clinical practice. Several critical aspects have been identified in the evaluation and referral of patients with CKD that must be addressed through the establishment of strategies for disseminating information and continued training for the scientific societies involved in treating these patients.
