Improving Primary Care for Patients With CKD in the Digital Era

Chronic kidney disease (CKD) has been persistently under-recognized and poorly detected in primary care.1 Patients with the most common CKD risk factors are often unaware of CKD,2,3 and they often are not treated with appropriate therapies.4 Recommended strategies to decrease CKD incidence and progression5 align well with primary care guidelines for the care of hypertension and diabetes,6,7 yet adherence to guidelines for CKD treatment in primary care settings remains suboptimal.8 At first blush, it would seem that ensuring that all patients with CKD receive nephrology specialty care could solve the problems of under-recognition and suboptimal treatment.

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