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Original Article
Online Published: 03 Nov 2025
 


Chronic kidney disease management by family medicine trainees: findings from an online survey

Abdulaziz Abdulrahman Alhokair, Abdullah Binhamad, Abdulrahman Hamad Alnathir, Shaddin Ahmed Alaskar, Yara Suliman Aleidi, Abdulaziz Faisal Meshal Alshalhoub, Ola Mowaffak Alrayes, Abdulwahab Ahmad Alshehri, Amal Omar Alansari.


Abstract
Background: Chronic kidney disease (CKD) is a common health issue, and proper screening and management are important for slowing disease progression. As primary care physicians, family medicine (FM) trainees are well-positioned to diagnose and manage early CKD. The objective of this study is to assess the current level of awareness, management practices, and challenges faced by FM trainees in managing CKD.
Methods: An online survey was conducted among 250 FM trainees across multiple regions, focusing on their understanding of CKD staging, management guidelines, and barriers to effective care. Statistical analysis was performed using Statistical Package for the Social Sciences version 27, presenting descriptive statistics and computing proportions. The Fisher’s exact test was used for comparisons.
Results: The results revealed key knowledge deficits, particularly in evaluating CKD stages based on glomerular filtration rate (GFR) cutoffs. Most respondents reported screening for metabolic acidosis at a creatinine clearance of less than 30 ml/min (66.5%), anemia at less than 60 ml/min (73.5%), and malnutrition at less than 30 ml/min (68.4%). Hypertension and diabetes were recognized as high-risk conditions in CKD by 95.8%
of respondents. In managing hypertension in CKD patients, angiotensin-converting enzyme inhibitors were commonly used (78.6%). For anemia treatment, erythropoietin or darbepoetin was used in 78.6% of patients, and oral iron was used in 65.1%. Most trainees (56.7%) referred patients with diabetic nephropathy to nephrologists at a GFR of less than 60 ml/min, while 61.4% recommended timely vascular access for hemodialysis
at a GFR of less than 15 ml/min.
Conclusion: The study concludes that there is a need for enhanced education and training programs for FM trainees to address these knowledge gaps and improve CKD management. Additionally, addressing factors such as time constraints and limited access to nephrology consultations could significantly improve the quality of CKD care in primary care settings.

Key words: Chronic kidney disease, family medicine trainees, CKD management, knowledge gaps, barriers, ACE inhibitors.


 
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How to Cite this Article
Pubmed Style

Alhokair AA, Binhamad A, Alnathir AH, Alaskar SA, Aleidi YS, Alshalhoub AFM, Alrayes OM, Alshehri AA, Alansari AO. Chronic kidney disease management by family medicine trainees: findings from an online survey. IJMDC. 2025; 9(10): 2270-2282. doi:10.24911/IJMDC.51-1734902058

Web Style

Alhokair AA, Binhamad A, Alnathir AH, Alaskar SA, Aleidi YS, Alshalhoub AFM, Alrayes OM, Alshehri AA, Alansari AO. Chronic kidney disease management by family medicine trainees: findings from an online survey. https://www.ijmdc.com/?mno=234217 [Access: December 09, 2025]. doi:10.24911/IJMDC.51-1734902058

AMA (American Medical Association) Style

Alhokair AA, Binhamad A, Alnathir AH, Alaskar SA, Aleidi YS, Alshalhoub AFM, Alrayes OM, Alshehri AA, Alansari AO. Chronic kidney disease management by family medicine trainees: findings from an online survey. IJMDC. 2025; 9(10): 2270-2282. doi:10.24911/IJMDC.51-1734902058


Vancouver/ICMJE Style

Alhokair AA, Binhamad A, Alnathir AH, Alaskar SA, Aleidi YS, Alshalhoub AFM, Alrayes OM, Alshehri AA, Alansari AO. Chronic kidney disease management by family medicine trainees: findings from an online survey. IJMDC. (2025), [cited December 09, 2025]; 9(10): 2270-2282. doi:10.24911/IJMDC.51-1734902058


Harvard Style

Alhokair, A. A., Binhamad, . A., Alnathir, . A. H., Alaskar, . S. A., Aleidi, . Y. S., Alshalhoub, . A. F. M., Alrayes, . O. M., Alshehri, . A. A. & Alansari, . A. O. (2025) Chronic kidney disease management by family medicine trainees: findings from an online survey. IJMDC, 9 (10), 2270-2282. doi:10.24911/IJMDC.51-1734902058


Turabian Style

Alhokair, Abdulaziz Abdulrahman, Abdullah Binhamad, Abdulrahman Hamad Alnathir, Shaddin Ahmed Alaskar, Yara Suliman Aleidi, Abdulaziz Faisal Meshal Alshalhoub, Ola Mowaffak Alrayes, Abdulwahab Ahmad Alshehri, and Amal Omar Alansari. 2025. Chronic kidney disease management by family medicine trainees: findings from an online survey. International Journal of Medicine in Developing Countries, 9 (10), 2270-2282. doi:10.24911/IJMDC.51-1734902058


Chicago Style

Alhokair, Abdulaziz Abdulrahman, Abdullah Binhamad, Abdulrahman Hamad Alnathir, Shaddin Ahmed Alaskar, Yara Suliman Aleidi, Abdulaziz Faisal Meshal Alshalhoub, Ola Mowaffak Alrayes, Abdulwahab Ahmad Alshehri, and Amal Omar Alansari. "Chronic kidney disease management by family medicine trainees: findings from an online survey." International Journal of Medicine in Developing Countries 9 (2025), 2270-2282. doi:10.24911/IJMDC.51-1734902058


MLA (The Modern Language Association) Style

Alhokair, Abdulaziz Abdulrahman, Abdullah Binhamad, Abdulrahman Hamad Alnathir, Shaddin Ahmed Alaskar, Yara Suliman Aleidi, Abdulaziz Faisal Meshal Alshalhoub, Ola Mowaffak Alrayes, Abdulwahab Ahmad Alshehri, and Amal Omar Alansari. "Chronic kidney disease management by family medicine trainees: findings from an online survey." International Journal of Medicine in Developing Countries 9.10 (2025), 2270-2282. Print. doi:10.24911/IJMDC.51-1734902058


APA (American Psychological Association) Style

Alhokair, A. A., Binhamad, . A., Alnathir, . A. H., Alaskar, . S. A., Aleidi, . Y. S., Alshalhoub, . A. F. M., Alrayes, . O. M., Alshehri, . A. A. & Alansari, . A. O. (2025) Chronic kidney disease management by family medicine trainees: findings from an online survey. International Journal of Medicine in Developing Countries, 9 (10), 2270-2282. doi:10.24911/IJMDC.51-1734902058




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