Audit of Kimberley Aboriginal Patients with Proteinuria, Chronic Kidney Disease and End Stage Kidney Disease

We audited the implementation of best-practice guidelines for patients at a Kimberley Aboriginal Community Controlled Health Service who have proteinuria and chronic kidney disease (CKD). We determined the extent to which regular patients at the clinic who were diagnosed with proteinuria or CKD were correctly assigned to computer care plans, and if the clinic followed the Kimberley Chronic Disease Protocols.

We found that:

  • Of the patients who had results that fitted the proteinuria or CKD care plan criteria, around half were correctly assigned to the corresponding care plan
  • Of the patients correctly assigned to these care plans about 80% were on some form of renoprotective drug
  • However only 40% of these patients were on the doses considered ideal for maximal benefit

These results have been presented to staff at the clinic to help them improve their chronic disease care.


  • Ryan Atkinson, Advanced Medical Science Project, University of Melbourne
  • Assoc Prof David Atkinson
  • Assoc Prof Julia Marley
  • Dr Carmel Nelson
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