Classification of Chronic Kidney Disease and Use of Glomerular Filtration Rate in a Family Medicine Unit

Abstract

Objective: to classify renal function in patients with diabetes mellitus type 2 (dm2) and hypertension through the determination of glomerular filtration rate and to identify the frequency of the use of the mdrd and ckd-epi formula. Methods: cross-sectional and descriptive study. Clinical records of diabetic and hypertensive patients from a Family Medicine Unit (fmu) in Ciudad Mante, Tamaulipas, Mexico were reviewed. To determine the sample the finite population formula was used. Socio-demographic and laboratory results were gathered through the review of the records and the glomerular filtration rate was calculated. Data was reviewed using descriptive statistics. Results: 150 records were analyzed. 30 (20%) patients had diabetes, 63 (45%) hypertension, and 57 (38%) suffered from both diseases. At the time of the study 10 (7.5%) patients were at a stratification renal stage. After calculating the glomerular filtration rate. According to the Kidney Disease Outcomes Quality Initiative (kdoki) classification, it was determined that 84 (56%) were in stage 1, 45 (30%) in stage 2, and 21 (14%) in the advanced stages of the disease. Conclusions:  the referral results show that there is a misdiagnosis of renal disease. Resources are not adequately used to classify patients with dm1 and hypertension presenting a renal disease.