<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2182-5173</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Medicina Geral e Familiar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port Med Geral Fam]]></abbrev-journal-title>
<issn>2182-5173</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Medicina Geral e Familiar]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2182-51732025000200129</article-id>
<article-id pub-id-type="doi">10.32385/rpmgf.v41i2.13871</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Codificar - codificação da doença renal crónica: qual a sua relevância? Estudo multicêntrico em seis unidades de saúde familiar de Vila Nova de Gaia]]></article-title>
<article-title xml:lang="en"><![CDATA[Codificar - chronic kidney disease coding: what&#8217;s its relevance? A multicenter study in six family health units in Vila nova de Gaia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marques]]></surname>
<given-names><![CDATA[Anita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pedrosa]]></surname>
<given-names><![CDATA[Ana Rita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Monteiro]]></surname>
<given-names><![CDATA[Ana Rita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Horta]]></surname>
<given-names><![CDATA[Mariana Teixeira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Teixeira]]></surname>
<given-names><![CDATA[Ana Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Neves]]></surname>
<given-names><![CDATA[Marta Perro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodrigues]]></surname>
<given-names><![CDATA[Inês]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sonié]]></surname>
<given-names><![CDATA[Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,ULS DE Gaia e Espinho USF Canaviais ]]></institution>
<addr-line><![CDATA[Vila Nova de Gaia ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,ULS de Trás-os-Montes e Alto Douro USF Coração do Douro ]]></institution>
<addr-line><![CDATA[São João da Pesqueira ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,ULS de Gaia e Espinho USF Nova Salus ]]></institution>
<addr-line><![CDATA[Vila Nova de Gaia ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,ULS de Gaia e Espinho USF Gaya ]]></institution>
<addr-line><![CDATA[Vila Nova de Gaia ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,ULS de Gaia e Espinho USF Arco do Prado ]]></institution>
<addr-line><![CDATA[Vila Nova de Gaia ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,ULS de Entre Douro e Vouga UCSP Norte ]]></institution>
<addr-line><![CDATA[Santa Maria da Feira ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,ULS de Gaia e Espinho USF Saúde no Futuro ]]></institution>
<addr-line><![CDATA[Vila Nova de Gaia ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<volume>41</volume>
<numero>2</numero>
<fpage>129</fpage>
<lpage>134</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2182-51732025000200129&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2182-51732025000200129&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2182-51732025000200129&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A doença renal crónica (DRC) representa um grave problema de saúde pública. Alguns dos principais fatores de risco para o seu desenvolvimento são comuns às principais causas de morbilidade nos cuidados de saúde primários, sendo importante identificar estes doentes e registar o problema no processo clínico informatizado.  Objetivos:  Pretende-se estimar a prevalência da DRC nas Unidades de Saúde Familiar (USF) estudadas e identificar os fatores que influenciam a codificação da DRC pelo médico.  Métodos:  Foram incluídos utentes inscritos nas seis USF participantes no estudo que tivessem registo de um valor de creati-nina nos últimos cinco anos. Foi aplicado um questionário aos médicos dessas USF (n=55) para avaliar as possíveis barreiras associadas à codificação da DRC.  Resultados:  Foram incluídos 30.760 utentes no estudo. Destes, 4.800 apresentavam TFG &lt;60 ml/min (15,6%) e 1.863 apresentavam a codificação U99 (6,1%). Apenas 2,8% apresentavam simultaneamente TFG &lt;60 ml/min e codificação U99 (n=862). A prevalência de DRC encontrada foi de 6,4%. O questionário teve uma proporção de resposta de 69,1%. A maioria dos médicos que preencheram afirmou conhecer o código U99 (n=33, 86,9%) e referiu utilizá-lo (n=31, 81,6%). Os principais motivos que influenciam a não-codificação foram o esquecimento (n=21, 55,3%), a falta de tempo na consulta (n=19, 50%) e a inexistência de um código da Classificação Internacional de Cuidados Primários, 2.ª edição (ICPC-2) específico para DRC (n=16, 42,1%).  Conclusões:  Atendendo à prevalência da DRC e às suas implicações é importante que seja registada na lista de problemas. Um código mais específico para a DRC permitiria uma melhor identificação e acompanhamento destes utentes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Chronic kidney disease (CKD) represents a serious public health problem. Some of the main risk factors for its development are common to the leading causes of morbidity in primary health care, making it important to identify these patients and register the problem in the computerized clinical file.  Objectives:  We aim to estimate the prevalence of CKD in the Family Health Units (USF) studied and identify the factors that influence the physician&#8217;s coding of CKD.  Methods:  Participants from the six USF participating in the study (n=55) who had a record of creatinine value in the last five years were included. A questionnaire was applied to physicians at these USFs to assess possible barriers associated with CKD coding.  Results:  30,760 participants were included in the study. Of these, 4,800 had a GFR &lt;60 ml/min (15.6%), and 1,863 had the U99 code (6.1%). Only 2.8% simultaneously had a GFR &lt;60 ml/min and a U99 code (n=862). The prevalence of CKD was 6.4%. The questionnaire had a response ratio of 69.1%. Most physicians reported they knew the U99 code (n=33, 86.9%) and referred to using it (n=31, 81.6%). The main reasons that influenced the non-coding were forgetfulness (n=21, 55.3%), lack of time in the consultation (n=19, 50%), and the lack of a specific International Classification of Primary Care, 2nd edition (ICPC-2) code for CKD (n=16, 42.1%).  Conclusions:  Given the prevalence of CKD and its implications, it must be registered in the list of problems. A more specific code for CKD would allow better identification and monitoring of these patients.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Doença renal crónica]]></kwd>
<kwd lng="pt"><![CDATA[Codificação]]></kwd>
<kwd lng="pt"><![CDATA[ICPC-2]]></kwd>
<kwd lng="pt"><![CDATA[Taxa de filtração glomerular]]></kwd>
<kwd lng="pt"><![CDATA[Cuidados de saúde primários]]></kwd>
<kwd lng="en"><![CDATA[Chronic kidney disease]]></kwd>
<kwd lng="en"><![CDATA[Codification]]></kwd>
<kwd lng="en"><![CDATA[ICPC-2]]></kwd>
<kwd lng="en"><![CDATA[Glomerular filtration rate]]></kwd>
<kwd lng="en"><![CDATA[Primary health care]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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