The impact of introducing automated eGFR reporting on uncovering new cases of chronic kidney disease in a University Hospital in Saudi Arabia.
OBJECTIVE
To determine the impact of introducing eGFR automated reporting on uncovering new cases of Chronic Kidney Disease.


METHODS
All serum creatinine (SCr) in adult patients attending outpatient clinics over a two-month period were recorded and eGFR estimated. Cases with a SCr within normal limits but were in CKD stage 3 (<60 mL/min) or higher were recorded and their numbers, percentages and mean ages calculated. Stages 1 and 2 were excluded from analysis because urinary albumin and other urinary abnormalities were not checked.


RESULTS
A total of 26,422 SCr from different patients were included. The mean SCr was 92.5 ± 130.9 μmol/ and the mean eGFR was 99.8 ± 32.4 mL/min/1.73 m(2). Of all the10,601 males with normal SCr, 0.84% were in CKD stage 3 and in all the 14,695 female, 19.24% were in stage 2 in stage. Of all the 14,695 females with serum creatinine in the normal range, 200 (1.36%) were in CKD stage 3. The patients in stages 2 and 3 were significantly older.


CONCLUSIONS
If our findings are shown to be true for the rest of Saudi Arabia, one could extrapolate that for each 100,000 serum creatinine assayed for males, 840 new cases will be uncovered in CKD stage 3. The corresponding number for females would be 1360 cases.
Department of Pathology, College of Medicine, King Saud bin Abdulaziz University for Health Sciences , Riyadh , Saudi Arabia .
Waleed
W
Tamimi
Fayez
F
Hejaili
Faisal
F
Al Ismaili
Hani
H
Tamim
Faissal
F
Shaheen
Saadi
S
Taher
Abdullah
A
Al Sayyari
D000368:Aged; D001331:Automation; D005260:Female; D005919:Glomerular Filtration Rate; D006785:Hospitals, University / Q000458:organization & administration / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D051436:Renal Insufficiency, Chronic / Q000628:therapy*; D012529:Saudi Arabia