Screening and early detection of chronic kidney disease at primary healthcare

Screening and early detection of chronic kidney disease at primary healthcare

Silvana Nader Nagib (1), Saeed Abdelwahab (2), Ghada Essam El-Din Amin (3), Mohamed Farouk Allam (1)

1. Department of Family Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

2. Department of Internal Medicine and Nephrology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

3. Department of Community, Environment and Occupational Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Clinical and Experimental Hypertension 2021 Mar 17;1-3. Online ahead of print. 

DOI: 10.1080/10641963.2021.1896726

 

ABSTRACT 

Chronic kidney disease (CKD) represents a global public health concern and results in poor health outcomes. While the burden of CKD is accurately well defined in developed countries, increasing evidence indicates that the CKD burden may be even greater in developing countries. Primary care has an essential role in the early identification of CKD and the prompt integrated management between primary and secondary CKD care, with participation of the patient, should be done in high quality. Systematic screening for CKD in at-risk individuals is strongly indicated for timely intervention when needed and to perceive the impact of such policies on CKD incidence. Furthermore, failure to recognize a patient in stages 1–3 of CKD may result in high incidence of CKD complications and kidney failure, often leaving the patient unsuitable for different renal replacement therapies, such as dialysis and transplantation. Therefore, primary care early referral and consultation with a nephrologist can give a better chance for different dialysis procedures and minimize the rate of hospitalization and mortality.

 

Keywords: Screening, Health Programmes, Chronic Kidney Disease, Primary Healthcare Centers. 

Clinical and Experimental Hypertension 2021 Mar 17;1-3. 

https://www.tandfonline.com/doi/full/10.1080/10641963.2021.1896726

Awareness and attitude of healthcare workers towards Telehealth in Cairo, Egypt

Awareness and attitude of healthcare workers towards Telehealth in Cairo, Egypt

 

Sara Shouman (1), Tamer Emara (2), Heba Gamal Saber (3), Mohamed Farouk Allam (1)

 

1. Faculty of Medicine, Family Medicine, Ain Shams University, Cairo, Egypt.

2. Faculty of Medicine, Neurology, Ain Shams University, Cairo, Egypt.

3. Faculty of Medicine, Geriatrics and Gerontology, Ain Shams University, Cairo, Egypt.

 

International Journal of Clinical Practice 2021 Mar 2;e14128. Online ahead of print.

First published: 02 March 2021

 

DOI: https://doi.org/10.1111/ijcp.14128

 

Abstract

Background: Telehealth is delivering health care services remote from health-care facilities using telecommunications. Egypt is aiming for Universal Health Coverage; this increases the demand for telehealth in routine health services.

Objective: To measure the awareness of telehealth health care workers of primary health care units and to evaluate the effect of an orientation programme on primary health care workers' awareness and acceptance of the application of telehealth.

Methodology: This was an intervention study amongst health care workers. A self-administrated valid questionnaire for health care workers was designed, the questionnaire consists of different domains of knowledge in addition to advantages, disadvantages, security and necessity perceptions. Each domain consists of Likert scale questions of 5 points. The questions were scored as the worst answer (1) and the best (5). A total of 109 questionnaires were filled by participants who spent at least 6 months in primary health care units. Then the health care workers attended an orientation programme and the questionnaire was re-filled once more. A total of 104 was recollected. Ethical issues were considered.

Results: 50.5% of the health care workers were aware of telehealth; 66.7% of health care workers with master's degree were aware of telehealth in comparison to 31.8% amongst those with a diploma, 64.3% of physicians were aware of telehealth, while 9.6% of nurses were aware. The score of knowledge and attitude increased from 130 ± 23.538 to 156.49 ± 18.456 after the educational programme.

Conclusion: Half of the health care workers were aware of telehealth; the orientation improved the Healthcare Workers' knowledge and attitude.

 

Key Words: Telehealth, Primary Health Centers, Health Care Workers.

International Journal of Clinical Practice 2021 Mar 2;e14128. Online ahead of print.

https://onlinelibrary.wiley.com/doi/full/10.1111/ijcp.14128