NICE indicator guidance
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCENICE indicator guidanceDate first published on NICE menu: August 2014Last update: October 2020Indicator NM75The percentage of patients with a new diagnosis of hypertension in the preceding 1 April to 31 March who have a record of urinary albumin: creatinine ratio test in the three months before or after the date of entry to the hypertension register. Indicator type General practice indicator suitable for use in the Quality and Outcomes Framework.RationaleThis indicator aims to support early identification of target organ damage, such as left ventricular hypertrophy and chronic kidney disease, in people with a new diagnosis of hypertension.Assessing target organ damage can alert the clinician to possible secondary causes of hypertension, some of which are potentially life threatening.Source guidance Hypertension in adults: diagnosis and management. NICE guideline NG136 (2019), recommendations 1.2.5 and 1.3.3. Specification Numerator: The number of patients in the denominator who have a record of urinary albumin: creatinine ratio test in the three months before or after the date of entry to the hypertension register. Denominator: The number of patients with a new diagnosis of hypertension in the preceding 1st April to 31st March.Calculation: (Numerator/denominator)*100Exclusions: Patients aged 18 years and under. Minimum population: The indicator would be appropriate to assess performance at individual general practice level.Further informationThis is NICE indicator guidance, which is part of the NICE menu of indicators. This document does not represent formal NICE guidance. ................
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