Advancements in Journal of Urology and Nephrology(AJUN)
ISSN: 2689-8616 | DOI: 10.33140/AJUN
Impact Factor: 1.0
Comparative Analysis of Chronic Kidney Disease Diagnosis and Management in Spain and Portugal: A Cross-Sectional Survey of Healthcare Professionals
Abstract
Abel Mata-Lima* and José Javier Serrano-Olmedo
Background: Chronic Kidney Disease (CKD) is a major global health burden, frequently underdiagnosed in early stages. Differences in healthcare systems may influence diagnostic and management pathways. This study compares CKD practices between Spain and Portugal.
Methods: A cross-sectional survey was conducted among primary care physicians and nephrology professionals in Spain and Portugal. Qualitative responses were analyzed thematically and complemented with descriptive statistics.
Results: Both countries reported substantial barriers to early CKD diagnosis. Training gaps were reported by 70% of respondents in Spain and 75% in Portugal, while communication barriers affected 65% and 70%, respectively. Late referral patterns were common in both settings. Portugal showed consistently higher perceived barriers across all domains.
Conclusions: CKD management challenges are shared across both countries but appear more pronounced in Portugal. Strengthening primary care training, improving digital integration, and implementing early detection strategies are critical to improving outcomes.