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Optimal referral to pre-dialysis services: one center's experience.

Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis·2009
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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

Optimal referral is early referral.

Susan Ann Heatley1

  • 1Central Manchester and Manchester Children's University Hospitals, Manchester, UK. Susan.Heatley@CMMC.nhs.uk

Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis
|March 10, 2009
PubMed
Summary

Late referral of chronic kidney disease (CKD) patients to nephrology services increases morbidity and mortality. Early referral to pre-dialysis clinics improves patient outcomes and treatment choices.

Area of Science:

  • Nephrology
  • Public Health

Background:

  • Chronic kidney disease (CKD) is a growing global health issue with high comorbidity and mortality rates.
  • Current guidelines for nephrology referral in CKD patients offer conflicting recommendations, leading to late referrals in over 30% of cases.
  • Late referral is linked to increased patient morbidity, mortality, hospital admissions, and initial care costs.

Purpose of the Study:

  • To highlight the negative consequences of late referral for chronic kidney disease (CKD) patients.
  • To emphasize the benefits of early referral and patient education in managing CKD.
  • To advocate for the integration of pre-dialysis clinics into patient care pathways.

Main Methods:

  • Review of existing literature on CKD referral guidelines and outcomes.

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  • Analysis of the impact of referral timing on patient morbidity, mortality, and treatment choices.
  • Audit of a pre-dialysis clinic to assess patient outcomes.

    • Main Results:

    • Late referral of CKD patients is associated with adverse health outcomes and increased healthcare costs.
    • Early referral facilitates the identification and treatment of reversible causes of renal impairment and management of comorbidities.
    • Pre-dialysis clinics and patient education programs improve medical care, patient decision-making regarding dialysis, and short-term survival.

    Conclusions:

    • Early referral to nephrology services and pre-dialysis clinics is crucial for improving outcomes in chronic kidney disease (CKD) patients.
    • Optimizing referral timing ensures better patient education, informed treatment choices, and enhanced quality of life.
    • Pre-dialysis services represent an essential component of comprehensive CKD patient care.