Survey of Nephrologists


Results of a national survey of nephrologists: Opinions on the content and effects of chronic kidney disease guidelines in Australia and New Zealand
Irving MJ, Johnson D, McDonald S, Walker R, Frommer F, Craig J.American Journal of Kidney Diseases 2009. 53(6): p.1082-1090
[PubMed abstract]


In 2006, a self-administered survey was distributed to all Australian and New Zealand nephrologists. Seven questions were repeated from a similar survey held in 2002. A total of 211 nephrologists (70% of practising nephrologists) responded. Over 90% agreed that the CARI Guidelines were a useful summary of evidence and nearly 60% reported that the guidelines had significantly influenced their practice.

The proportion of nephrologists reporting that the guidelines had improved patient outcomes rose from 14% in 2002 to 38% in 2006. The proportion of nephrologists indicating that the guidelines did not match the best available evidence decreased from 30% in 2002 to 8% in 2006. Almost all nephrologists regarded the CARI Guidelines as useful evidence summaries, although only one-third believed that guidelines affected health outcomes.

Attitudes to the guidelines have become more favourable over time; this may reflect changes in the CARI process or attitudinal changes to evidence among nephrologists.