Rapid responses are electronic comments to the editor. They enable our users to debate issues raised in articles published on bmj.com. A rapid response is first posted online. If you need the URL (web address) of an individual response, simply click on the response headline and copy the URL from the browser window. A proportion of responses will, after editing, be published online and in the print journal as letters, which are indexed in PubMed. Rapid responses are not indexed in PubMed and they are not journal articles. The BMJ reserves the right to remove responses which are being wilfully misrepresented as published articles.
Too late! eGFR is now done automatically (and without an opt out)
each time electrolytes are measured; the result is that our small
practice of 4000 patients has 175 who are now defined as having stage 3
renal failure.GP's are once again left shouldering the burden of someone
else's good idea gone wrong. Doubtless this is why so many have decided
to share the burden with their local renal departments and why referral
rates have shot up.
Can we have a little more consultation with the grass roots of the
profession before implementing changes?