Most kidney specialists and primary-care physicians (PCPs) favor collaborative care for patients with progressive chronic kidney disease, but the two groups differ in how and when to share care, according to a survey.
Questionnaires filled out by 120 nephrologists and 124 PCPs nationwide showed that most (94% and 85%, respectively) wanted to work together. PCPs were more supportive of collaboration when the hypothetical patient had both diabetes and hypertension as opposed to hypertension alone; when PCPs felt they were providing care that could slow CKD progression; and when PCPs did not perceive health insurance to be a barrier to nephrology referral.
The nephrologists were more eager than the PCPs to have collaboration focus on predialysis/renal replacement therapy preparation and electrolyte management. The study, conducted by Clarissa Jonas Diamantidis, MD, and colleagues, was published online ahead of print by Clinical Journal of the American Society of Nephrology.