Nephrologists and Non-Nephrologists Alike Report Increased Attention on Chronic Kidney Disease
According to the study, awareness of CKD seems to be growing among allspecialties. Although there is high agreement around the benefits of earlyscreening for CKD, there is relatively low familiarity with the NationalKidney Foundation's CKD Staging Classification and virtually no familiaritywith the Kidney Early Evaluation Program (KEEP), a program designed to raiseawareness, educate, provide physician referrals, and ultimately delay diseaseprogression. While Endocrinologists and Cardiologists do refer patients withCKD to Nephrologists, the majority of referrals come from PCPs. Managed caredoes not play a role in when patients are referred to Nephrologists.
In terms of treatment of CKD patients, while all specialties are familiarwith and comfortable prescribing ACEs and ARBs, there are differences betweenspecialties when it comes to phosphate binders, PTH modifiers, ESAs, and IVIron. Cardiologists are least interested in managing renal issues in patientswith CKD. Some of the differences in level of involvement are specialtydriven, whereas others seem to be based on practice setting(urban/rural/suburban) and practice type (solo/group/multi-specialty).Pharmaceutical companies appear to be taking different approaches to reachingthese non-Nephrology physicians involved in the management of CKD patients.Some companies are targeting them directly while others are limiting promotionto Nephrologists.
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