Evidence of local arrangements to ensure that people with diabetes have their renal function (eGFR) and albuminuria or proteinuria (ACR or PCR) assessed annually and that these are managed appropriately.
Process
The proportion of people with diabetes who have their renal function (eGFR) and albuminuria or proteinuria (ACR or PCR) assessed annually and are managed appropriately.
Numerator
The number of people in the denominator receiving an assessment for renal function and albuminuria or proteinuria during the previous 12 months and are managed appropriately
Reduction in the incidence of diabetic renal disease.
The Best Practice Advocacy Centre provides an audit tool for monitoring practice associated with Renal Function in Elderly People. This audit addresses the appropriate use of renal function tests in people aged over 75 years. It will allow practitioners to identify and assess those patients who have not received renal monitoring, eg, estimated glomerular filtration rate (eGFR) from serum creatinine or an albumin: creatinine ratio (ACR) or protein: creatinine ratio (PCR) during the previous year, and determine whether they should have it. (www.bpac.org.nz/Audits/renal-function.aspx).
