دورية أكاديمية

Stage 5 Chronic Kidney Disease: Epidemiological Analysis in a NorthEastern District of Italy Focusing on Access to Nephrological Care.

التفاصيل البيبلوغرافية
العنوان: Stage 5 Chronic Kidney Disease: Epidemiological Analysis in a NorthEastern District of Italy Focusing on Access to Nephrological Care.
المؤلفون: Martino, Francesca K., Fanton, Giulia, Zanetti, Fiammetta, Carta, Mariarosa, Nalesso, Federico, Novara, Giacomo
المصدر: Journal of Clinical Medicine; Feb2024, Vol. 13 Issue 4, p1144, 9p
مصطلحات موضوعية: CHRONIC kidney failure, NEPHROLOGISTS, OLDER people, GLOMERULAR filtration rate, OLDER women, DEMOGRAPHIC characteristics
مصطلحات جغرافية: ITALY
مستخلص: Background: We conducted a retrospective epidemiological study about the prevalence of stage 5 chronic kidney disease (CKD) in a high-income district, comparing some demographic characteristics and outcomes of those patients who had nephrological consultations and those who had not. Results: In a district of 400,000 adult subjects in 2020, 925 patients had an estimated glomerular filtration rate (eGFR) under 15 mL/min and CKD. In the same period, 747 (80.4%) patients were assessed by nephrologists, while 178 (19.6%) were not. Age (88 vs. 75, p < 0.0001), female gender (66.3% vs. 47%, p < 0.001), and eGFR (12 vs. 9 mL/min, p < 0.001) were significantly different in the patients assessed by a nephrologist as compared those who did not have nephrological care. Furthermore, unfollowed CKD patients had a significantly higher death rate, 83.1% versus 14.3% (p < 0.0001). Conclusions: About 20% of ESKD patients did not receive a nephrologist consultation. Older people and women were more likely not to be referred to nephrology clinics. Unfollowed patients with stage 5 CKD had a significantly higher death rate. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:20770383
DOI:10.3390/jcm13041144