One of the main issues in public health, chronic kidney disease (CKD), has significant hazards and can have a negative impact on both an individual's and society's overall health. Few researches have examined the variables influencing community‐level access to CKD care in kanyakumari district, Tamilnadu rural districts. In order to learn more about the opinions and experiences of important stakeholders and to determine the obstacles and possible enablers affecting primary care providers' ability to provide CKD care, a qualitative study was designed. The study looked at the percentage of patients with CKD who met a set of 12 quality indicators. Associations between divergence from these quality metrics were also examined in the study. Patients were excluded for enrollment if they had a history of known sensitivity to any component of ferrous sulfate or iron sucrose; chronic or serious infection, malig‐nancy, or major surgery in the month prior to enrollment., parenteral iron within six months prior to enrollment., blood transfusion within the two months prior to enroll‐ment., clinically significant bleeding within three months prior to enrollment., concomitant severe diseases of the liver, cardiovascular system, severe psychiatric disorders, or other conditions which, in the opinion of the investiga‐tor, made participation unacceptable. Among patients in the intent‐to‐treat population, there were no significant differences at baseline between pa‐tients in the IV iron group and those in the oral iron group in demographic descriptors, iron status, or severity of anemia. The patient and the doctor will ultimately decide whether to use IV or oral iron based on how important it is to consider factors like cost, convenience, compliance, safety and tolerability. The effective cost of iron therapy for treating CKD‐associated anaemia takes into account both the iron agent's cost and any savings from using lower ESA dosages.
J. Gayathri and K.P. Selvarajan Chettiar. The Role of Primary Care in Managing Chronic Kidney Disease.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.10.497.502
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.10.497.502