Albuminuria testing rates in people with diabetes, Victoria, 2022–2024: analysis of a pathology dataset

Urinary albumin measurement is vital in the screening and monitoring of diabetic kidney disease, but is substantially under-performed. We analysed pathology data from St Vincent's Pathology, Melbourne, between 2022 and 2024 to assess urinary albumin-creatinine ratio (ACR) testing rates in diabetes. Among 19 198 adults, only 23.7% had ≥1 ACR value recorded. Testing increased with risk markers (age, male sex, high hemoglobin A<sub>1c</sub>, low estimated glomerular filtration rate) but remained low, underscoring significant screening and monitoring gaps.

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Journal
Internal Medicine Journal
Published
2026-02-23
DOI
https://doi.org/10.1111/imj.70348
Primary Topic
Chronic Kidney Disease and Diabetes
Type
article
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article

Albuminuria testing rates in people with diabetes, Victoria, 2022–2024: analysis of a pathology dataset

Christina Trambas, R. J. MacIsaac, Samuel F McCormick, Glenn M Ward
Internal Medicine Journal
Chronic Kidney Disease and Diabetes
article

Albuminuria testing rates in people with diabetes, Victoria, 2022–2024: analysis of a pathology dataset

Christina Trambas, R. J. MacIsaac, Samuel F McCormick, Glenn M Ward
article en

Abstract

Urinary albumin measurement is vital in the screening and monitoring of diabetic kidney disease, but is substantially under-performed. We analysed pathology data from St Vincent's Pathology, Melbourne, between 2022 and 2024 to assess urinary albumin-creatinine ratio (ACR) testing rates in diabetes. Among 19 198 adults, only 23.7% had ≥1 ACR value recorded. Testing increased with risk markers (age, male sex, high hemoglobin A<sub>1c</sub>, low estimated glomerular filtration rate) but remained low, underscoring significant screening and monitoring gaps.

Internal Medicine JournalVol. 56(3)
The University of Melbourne (AU), St Vincent's Hospital Melbourne (AU)
Good health and well-being
Openalex Percentile: Top 53%
Chronic Kidney Disease and Diabetes
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