Patient referral is influenced by dialysis centre structure in the Diamant Alpin Dialysis cohort study

Background. Late referral (LR) to the nephrologist of patients with progressing chronic kidney disease (CKD) has numerous deleterious effects and is observed in many countries. The contributing factors associated with LR are controversial and poorly defined. We hypothesized that these factors might...

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Published in:Nephrology, dialysis, transplantation dialysis, transplantation, 2004-09, Vol.19 (9), p.2341-2346
Main Authors: Wauters, Jean-Pierre, Bosson, Jean-Luc, Forneris, Giacomo, Turc-Baron, Cécile, Golshayan, Dela, Paternoster, Giuseppe, Martina, Guido, Hurot, Jean-Marc, von Albertini, Beat, Forêt, Michel, Cordonnier, Daniel, Piccoli, Giuseppe
Format: Article
Language:English
Subjects:
Aged
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
chronic dialysis
Cohort Studies
Dialysis - statistics & numerical data
Disease Progression
Emergency and intensive care: renal failure. Dialysis management
end-stage renal failure
epidemiology
Europe - epidemiology
Glomerulonephritis
Humans
Intensive care medicine
Kidney Failure, Chronic - therapy
late referral
Medical sciences
Middle Aged
Nephrology. Urinary tract diseases
Nephropathies. Renovascular diseases. Renal failure
progression of kidney disease
Prospective Studies
Referral and Consultation - statistics & numerical data
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the urinary system
Time Factors
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Summary:Background. Late referral (LR) to the nephrologist of patients with progressing chronic kidney disease (CKD) has numerous deleterious effects and is observed in many countries. The contributing factors associated with LR are controversial and poorly defined. We hypothesized that these factors might be better identified by analysing patients starting dialysis in three distinct European countries within the same area. Method. The referral and progression of kidney failure patterns were analysed with demographic, clinical and biological data in 279 non-selected consecutive patients starting dialysis in eight centres of three adjacent regions in France, Italy and Switzerland. Results. Early referral (>6 months before the start of dialysis) was seen in 200 patients (71.6%), intermediate referral (1–6 months) in 42 (15.1%) and LR (
ISSN:0931-0509
1460-2385
DOI:10.1093/ndt/gfh387