A requirement to quantify proteinuria preferably by a urine albumin creatinine ratio was added to the Chronic Kidney Disease domain of the QoF in April 2009. The first year results are just out and they show that 78% of those on primary care CKD registers have had proteinuria recorded in the last year.
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This is a remarkable achievement – well done primary care. Given the importance of proteinuria as a modifiable risk factor for progressive kidney disease, acute kidney injury and vascular events this will identify those with CKD at highest risk.
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