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Chronic kidney disease – a role of nephrologists and general practitioner
Authors: M. Kubišová; S. Dusilová Sulková
Authors‘ workplace: Přednosta: prof. MUDr. Luboš Sobotka, CSc. ; Nefrologické oddělení Kliniky gerontologické a metabolické, FN a LF UK Hradec Králové
Published in: Prakt. Lék. 2009; 89(5): 261-264
Category: Case Report
Overview
The article describes the case report of a patient with chronic kidney disease (CKD) progressing to renal failure necessitating the introduction of haemodialysis. Chronic kidney disease affects as many as 10 % of population, however only a fraction leads to renal failure. Treatment and follow-up by a nephrologist may slow CKD progression and defer haemodialysis, to better prepare a patient for this treatment and thus, to make introduction of haemodialysis simpler. Nephrologists may better diagnose and treat secondary complications associated with diminishing renal function.
Key words:
chronic kidney disease, polycystic kidney, renal failure, anaemia, hyperparathyreosis, left heart hypertrophy, haemodialysis.
Sources
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3. Care and referral of adult patients with reduced renal function. Recommendations from the Canadian Society of Nephrology. Dostupné na http://csnscn.ca/local/files/guidelines/implementationscommittee/CKDReferralSummary2007.doc
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8. Navaneethan, S.D., Aloudat, S., Singh, S. A systematic review of patients and health system characteristics associated with late referral in chronic kidney disease. BMC Nephrology [on line] doi 10.1186/1471-2369-9-3. Dostupné na www.biomedcentral.com/1471-2369-9-3
9. Rychlík, I., Lopot, F. Statistická ročenka dialyzační léčby v České republice v roce 2007. [on line] Dostupná v pdf formátu na www.nefrol.cz.
10. Wauters, J.P., Lameire, N., Davison, A., Ritz, E. Why patients with progressing kidney disease are referred late to the nephrologist: on cause and proposals for improvement. Nephrol. Dial.Transplant. 2005, 20, p. 490-496.
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General practitioner for children and adolescents General practitioner for adults
Article was published inGeneral Practitioner
2009 Issue 5-
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