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Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
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The nephrology crystal ball: the medium-term future.

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Summary
This summary is machine-generated.

European nephrologists anticipate significant changes in kidney care, including increased corporate ownership and non-nephrologist involvement. While embracing technology like electronic health records and smartphone apps for chronic kidney disease (CKD) management, they show cautious optimism for future innovations.

Keywords:
futurenephrologyomicprivate dialysistransplantation

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Area of Science:

  • Nephrology
  • Healthcare Management
  • Medical Technology

Background:

  • The European Renal Association–European Dialysis and Transplant Association (ERA-EDTA) surveyed nephrologists to gauge perceptions on the evolving landscape of kidney care and research.
  • The survey aimed to understand the impact of organizational changes and technological advancements on renal care and kidney disease knowledge.

Purpose of the Study:

  • To explore nephrologists' comprehension of how shifts in renal care organization and technological progress influence kidney disease management.
  • To assess the current adoption and future interest in digital health tools and advanced medical technologies within nephrology.

Main Methods:

  • An ad hoc questionnaire was distributed to 825 ERA-EDTA members, representing approximately 13% of the total membership.
  • The survey covered topics including ownership of kidney centers, the role of non-nephrologists in dialysis, transplant patient follow-up, electronic health record adoption, and the use of smartphone-based self-management programs for chronic kidney disease (CKD).

Main Results:

  • Over 50% of respondents believe large dialysis providers will increasingly own kidney centers.
  • A significant portion anticipates non-nephrologists overseeing dialysis aspects and transplant physicians managing long-term transplant care.
  • 45% utilize fully integrated electronic clinical files; only 11% use smartphone-based CKD self-management programs, though 74% express interest in learning more.
  • Nephrologists show cautious optimism towards omic sciences and artificial organs but have limited medium-term expectations.

Conclusions:

  • European nephrologists foresee substantial organizational shifts in kidney care delivery, with a trend towards consolidation and interdisciplinary involvement.
  • There is a notable gap between the current application and the expressed interest in digital health tools for chronic kidney disease (CKD) management.
  • While acknowledging the potential of advanced technologies like omics and artificial organs, the immediate impact is viewed with cautious optimism.