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[Chronic kidney disease--diagnostic problems]
1Katedra i Klinika Nefrologii Pediatrycznej AM we Wrocławiu.
Insights
Late diagnosis of chronic kidney disease (CKD) leads to poorer health outcomes and increased costs. Early referral to a nephrologist is crucial for better management and survival rates in CKD patients.
Area of Science:
- Nephrology
- Pediatric Nephrology
- Public Health
Context:
- Chronic kidney disease (CKD) diagnosis is frequently delayed.
- A significant percentage of adult dialysis patients lack prior nephrologist consultation.
- Late referral impacts patient outcomes negatively.
Purpose:
- To review factors contributing to late CKD diagnosis and nephrologist referral in children.
- To highlight the consequences of delayed CKD care.
Summary:
- Delayed CKD diagnosis and late nephrologist referral are common.
- Late referral is associated with worse clinical status, including hypertension and uremia.
- Consequences include longer hospital stays, higher costs, and increased mortality.
Impact:
- Emphasizes the need for timely CKD diagnosis and intervention.
- Highlights the importance of early nephrologist involvement for improved patient prognosis.
- Informs strategies to improve pediatric CKD care pathways.
Abstract:
Current data indicate that the diagnosis of chronic kidney disease (CKD) is often late. It is estimated that 20-50% of adult patients start dialysis therapy without prior contact with a nephrologist. In contrast to early referral patients (both children and adults), late referral to nephrologist is related to poorer clinical status, hypertension and more severe uremic symptoms. Late referral is also associated with longer hospitalization, higher treatment costs and early deaths on dialysis. Factors influenced on the late diagnosis of CKD in children, as well as the late referral to a nephrologist, are discussed in the present review.
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