慢性肾脏病的早期转诊--抓住机遇

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Bharti Chogtu , Ravindra Prabhu A , Vani Lakshmi R , Rahul Magazine
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引用次数: 0

摘要

背景慢性肾脏病(CKD)的特点是肾功能逐渐丧失,最终导致需要进行透析或移植等肾脏替代治疗(RRT)。本研究旨在回顾 CKD 患者及早转诊给肾科医生的影响,以及其对疾病进展、治疗费用和疾病预后的影响。转诊过晚可能导致计划外透析,并可能带来有害后果。除了少数研究对患者的一些长期预后提出了相反的结果外,大多数文献都支持及时转诊的有益作用。为了优化 CKD 患者的转诊,需要明确早期转诊的定义,最重要的是,需要让初级保健医生了解转诊到肾内科的可用工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Early referral in chronic kidney disease―seizing the opportunity

Background

Chronic kidney disease (CKD) is characterized by progressive loss of kidney function, which can eventually result in the need for renal replacement therapy (RRT) such as dialysis or transplantation. This study aimed to review the impact of early referral of CKD patients to nephrologist and its impact on disease progression, cost of treatment and disease outcome.

Methods

The study was done based on scholarly articles from PubMed using the keywords.

Results

Early referral of CKD patients is associated with slower disease progression, improved patient outcomes, and reduced cost of treatment. Late referral can result in unplanned dialysis, with its likely deleterious consequences Other than a few studies that have brought forth contrary results regarding some long-term patient outcomes, most of the literature supports the beneficial effects of timely referral. Robust referral protocols can decrease the referral of low-risk CKD patients, thus lessening the load on nephrology services.

Conclusion

To optimize CKD patient referrals, clarity is needed regarding the definition of early referral and, most importantly, primary care physicians need to be made aware of the available tools for referral to nephrology care.

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来源期刊
Clinical Epidemiology and Global Health
Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.60
自引率
7.70%
发文量
218
审稿时长
66 days
期刊介绍: Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.
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