Abstract
BackgroundKidney disease is the 9th leading cause of death in Singapore. While preventive effects have focused on early detection and education, little is known about the knowledge level of chronic kidney disease (CKD) locally. We seek to evaluate the knowledge of CKD among primary care patients.MethodsWe conducted a cross-sectional survey of a convenience sample of 1520 patients from 3 primary care centers. Those with existing CKD or on dialysis were excluded. Knowledge was assessed based on 7 questions on CKD in the self-administered questionnaire. One point was given for each correct answer with a maximum of 7 points.Results1435 completed all 7 questions on CKD. Mean age was 48.9 ±15.0 (SD) years. 50.9% were male. 62.3% had a secondary and below education and 52.4% had a monthly household income of ≤ $2000. 43.7% had chronic diseases. Mean score was 3.44 ± 1.53 (out of a maximum of 7). Median score was 4. In multivariate logistic regression, being older {>60 years [Odds Ratio (OR) 0.50, 95% Confidence Interval (CI) 0.32-0.79]; 40–60 years (OR 0.62, 95% CI 0.43,0.89)}, less educated [up to primary education (OR 0.33, 95% CI 0.22-0.49)], having a lower monthly household income [<S$2000 (OR 0.41, 95% CI 0.26-0.66); S$2000-4999 (OR 0.53, 95%CI, 0.33-0.83)], and being non-professionals [OR 0.66, 95% CI 0.43-0.99] (all p < 0.05)] were likely to score less.ConclusionThis suggests that CKD education should be targeted at older patients with lower education and lower socioeconomic status.
Highlights
Kidney disease is the 9th leading cause of death in Singapore
15.8% of the respondents worked as professionals or executives. 25.5% were working in production or clerical jobs or were self-employed. 30.9%
Our study suggests that only about 51% of primary care patients who are not known to have chronic kidney disease (CKD) knew that CKD could be caused by diabetes, hypertension and hereditary conditions
Summary
Kidney disease is the 9th leading cause of death in Singapore. While preventive effects have focused on early detection and education, little is known about the knowledge level of chronic kidney disease (CKD) locally. Chronic kidney disease (CKD) is the 9th leading cause of death in Singapore in 2008 [1]. In 2008, there were 332.7 new cases of end stage renal disease (ESRD) per million resident population (crude rate) up from 213.2 per million resident population in 1999 [2]. Education on CKD is provided as part of the program [4]
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