Audit on Early Detection and Primary Prevention of Chronic Kidney Disease in patients Admitted to the Healthcare of the Elderly Wards in a District General Hospital in UK

DEAR EDITOR, Early identification and prevention of Chronic Kidney Disease (CKD) has been emphasized as an area of importance by the National Service Framework for Renal Services of the UK. Over 2% of the total National Health Service (NHS) UK budget is spent on renal replacement therapy for those with established renal failure, and on an average 30% of patients with advanced renal failure are referred late to the appropriate nephrology services from both primary and secondary care, having a massive impact on morbidity and mortality. In 2008, National Institute for Health and Care Excellence (NICE) released guidance on early detection and management of CKD in adults in primary and secondary care. The aim of this audit was to assess the adherence of current hospital practice with regard to the 2008 NICE guidelines regarding CKD, identifying areas that need to be improved, in Kings Mill Hospital, Sherwood Forest Hospitals NHS Foundation Trust, UK. Data was prospectively collected from 100 patients on the Healthcare of the Elderly Department of Geriatrics, King’s Mill Hospital, Sherwood Forest Hospitals NHS Foundation Trust, UK Correspondence to: Dr. Anoja Rajapakse, Department of Geriatrics, King’s Mill Hospital, Sherwood Forest Hospitals NHS Foundation Trust, Sutton‐in‐Ashfield, Nottinghamshire, UK. E‐mail: [email protected]