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IAC-CKD: Improving acute cardiac care for patients with kidney disease through linkage of national audits in the UK

We are focused on improving outcomes for people with kidney and cardiovascular disease in the UK.

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This project will link for the first time national cardiovascular and kidney audits to study how we can improve acute cardiovascular treatment in people living with chronic kidney disease.


We will facilitate a novel linkage between the UK Renal Registry (UKRR) and the National Institute of Cardiovascular Outcomes Research (NICOR) audits, along with NHS Hospital Episode Statistics (HES) data to conduct a natural experiment on acute cardiovascular treatments in people with chronic kidney disease. Results from this study will directly impact current practice in the NHS and provide impetus for further studies using this multi-disease linkage. 

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This project is funded by the Health Foundation. We are a group of clinicians, epidemiologists, statisticians, and patient representatives spread across England. Data processing and analyses are taking place at the London School of Hygiene & Tropical Medicine, NICOR, and the UK Renal Registry. 

Who we are
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Our study team includes:

  • Professor Dorothea Nitsch - Professor of Clinical Epidemiology and Honorary Consultant Nephrologist, London School of Hygiene and Tropical Medicine
  • Dr David Adlam - Associate Professor in Acute and Interventional Cardiology, Honorary Consultant Cardiologist, University of Leicester (and University Hospitals Leicester)
  • Professor John Deanfield - University College London, Professor of Cardiology and Consultant Cardiologist, Barts Heart Centre (previously The Heart Hospital)
  • Dr Mark de Belder - Consultant Cardiologist, Barts Health NHS Trust and Honorary Reader University College London
  • Dr Clive Weston - Consultant Acute Physician with an interest in Cardiology; Hywel Dda University Health Board; Glangwili General Hospital, Carmarthen. Honorary Consultant within the National Institute for Cardiovascular Outcomes Research (NICOR) Barts Health, London (2018 – 2020)
  • Professor Peter Ludman - Professor of Cardiology Institute of Cardiovascular Sciences; College of Medical and Dental Science; University of Birmingham And Consultant Cardiologist Queen Elizabeth Hospital University of Birmingham
  • Mr Andrew Goodwin - Consultant Cardiothoracic Surgeon at the James Cook University Hospital, Middlesbrough
  • Professor Richard Grieve - Professor of Health Economics Methodology, London School of Hygiene and Tropical Medicine (LSHTM)
  • Dr Retha Steenkamp - Head of Operations UK Renal Registry
  • Ms Sue Lyon - Kidney Patient Representative
  • Mr Anthony Locke - Cardiovascular Patient Representative
  • Mr Patrick Bidulka - Research Assistant, London School of Hygiene and Tropical Medicine (LSHTM)
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Our research is focused on using NHS data which is already collected for audit purposes to study the interaction between kidney and cardiovascular disease. We will link these disparate databases in order to study these often inter-linked diseases with the goal of improving health service delivery and outcomes for people living with these diseases.  

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You can read more about the UK Renal Registry and the National Institute for Cardiovascular Outcomes Research (NICOR) at the following links:

UK Renal Registry