Intended for healthcare professionals

Letters Chronic kidney disease

Alternative view of CKD and QOF

BMJ 2010; 341 doi: (Published 07 July 2010) Cite this as: BMJ 2010;341:c3580
  1. Andrew Connor, specialist registrar in renal and general medicine1,
  2. Donal O’Donoghue, consultant nephrologist2
  1. 1Dorset County Hospital, Dorchester
  2. 2Salford Royal NHS Foundation Trust, Manchester
  1. andrew.connor{at}

    There is an alternative perspective to Spence’s view that opportunistic screening for chronic kidney disease (CKD) is “bad medicine.”1 Referrals from primary care increased after the introduction of estimated glomerular filtration (eGFR) reporting, with a shift towards more advanced disease—suggesting that those with most to gain from specialist review are now more likely to …

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