Research project: HHRCKD Hampshire Health Record Chronic Kidney Disease study

The majority of moderate CKD (stage 3) is managed in Primary Care. The Hampshire Health Record (HHR) is a shared clinical record that holds individual linked extracts of GP and hospital records for a population of about 1.1 million people in 132 General Practices in Hampshire and the Isle of Wight.

The HHRCKD Study is a retrospective cohort study of 24,000 people with prevalent CKD in 2008 (defined biochemically from routine blood tests), followed up over 5 years to investigate:

• Aspects of CKD management in primary care such as identification of CKD and measurement of albumin:creatinine ratio
• Need for renal replacement therapy (dialysis and transplant), incidence of cardiovascular disease, and mortality
• Appropriate use of medication
• Health service use measures, including emergency hospital admission
• Evidence of socioeconomic inequality in the above areas of investigation

Outputs

Fraser SDS, Roderick P, Bailey L, Sanderson H. Novel use of a combined primary and secondary care data resource: investigation of inequalities in chronic kidney disease identification in the UK Hampshire Health Record. Public Health Abstracts. The Lancet Nov 2012.
(Presented at ‘Public health science: A national conference dedicated to new research in public health’. November 2012, Royal Society of Medicine, London).

Fraser SD, Parkes J, Culliford DJ, Roderick P. Risk of acute kidney injury in people with chronic kidney disease – a retrospective cohort study using the Hampshire Health Record. Poster presented at the University of Southampton Faculty of Medicine Research Conference, June 2014.

Fraser SD, Culliford DJ, Parkes J, Roderick P. Identifying chronic kidney disease and detecting albuminuria: a retrospective cohort study using the Hampshire Health Record. Poster presented at the University of Southampton Population Health Summer Conference, June 2014.

Chief Investigator: Dr Simon Fraser

Duration: 2012-2014

Contact: s.fraser@soton.ac.uk