CKD Management in Primary Care: Supporting Systems Change
Persistent gaps exist in care for patients with chronic kidney disease (CKD), such as inadequate blood pressure (BP) control and low use of angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs) and statins.1 There are multiple barriers to optimal CKD care, including: (1) low general public awareness about CKD, its risk factors, and its consequences; (2) lack of understanding about individual CKD risk; (3) inadequate urinary albumin-creatinine ratio (UACR) testing to diagnose early CKD or appropriately risk-stratify patients; (4) lack of patient or provider awareness of CKD; and (5) lack of provider- or patient-targeted evidence-based interventions to reduce CKD progression or cardiovascular disease (CVD; Fig 1).