scholarly journals Physician access and early nephrology care in elderly patients with end-stage renal disease

2008 ◽  
Vol 74 (12) ◽  
pp. 1596-1602 ◽  
Author(s):  
Yongming Zhao ◽  
John M. Brooks ◽  
Michael J. Flanigan ◽  
Elizabeth A. Chrischilles ◽  
Jane F. Pendergast ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Nephrology Care ◽  
Stage Renal Disease ◽  
End Stage

scholarly journals Effects of Early Frequent Nephrology Care on Emergency Department Visits among Patients with End-stage Renal Disease

2019 ◽  
Vol 16 (7) ◽  
pp. 1158
Author(s):  
Yun-Yi Chen ◽  
Likwang Chen ◽  
Jenq-Wen Huang ◽  
Ju-Yeh Yang
Keyword(s):  
Emergency Department ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Lower Risk ◽  
Early Referral ◽  
Dialysis Treatment ◽  
Nephrology Care ◽  
Stage Renal Disease ◽  
End Stage ◽  
Late Referral

In this retrospective cohort study, we examined the association between predialysis nephrology care status and emergency department (ED) events among patients with end-stage renal disease. Data pertaining to 76,702 patients who began dialysis treatment between 1999 and 2010 were obtained from the National Health Insurance Research Database of Taiwan (NHIRD). The patients were divided into three groups based on the timing of the first nephrology care visit prior to the initiation of maintenance dialysis, and the frequency of nephrologist visits (i.e., early referral/frequent consultation, early referral/infrequent consultation, late referral). At 1-year post-dialysis initiation, a large number of the patients had experienced at least one all-cause ED visit (58%), infection-related ED visit (17%), or potentially avoidable ED visit (7%). Cox proportional hazard models revealed that patients who received early frequent care faced an 8% lower risk of all-cause ED visit (HR: 0.92; 95% CI: 0.90–0.94), a 24% lower risk of infection-related ED visit (HR: 0.76; 95% CI: 0.73–0.79), and a 24% lower risk of avoidable ED visit (HR: 0.76; 95% CI: 0.71–0.81), compared with patients in the late referral group. With regard to the patients undergoing early infrequent consultations, the only marginally significant association was for infection-related ED visits. Recurrent event analysis revealed generally consistent results. Overall, these findings indicate that continuous nephrology care from early in the predialysis period could reduce the risk of ED utilization in the first year of dialysis treatment.

scholarly journals Development of a risk stratification algorithm to improve patient-centered care and decision making for incident elderly patients with end-stage renal disease

2015 ◽  
Vol 88 (5) ◽  
pp. 1178-1186 ◽  
Author(s):  
Cécile G. Couchoud ◽  
Jean-Baptiste R. Beuscart ◽  
Jean-Claude Aldigier ◽  
Philippe J. Brunet ◽  
Olivier P. Moranne
Keyword(s):  
Decision Making ◽  
Risk Stratification ◽  
Elderly Patients ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Patient Centered ◽  
Centered Care ◽  
Stage Renal Disease ◽  
End Stage ◽  
Improve Patient

scholarly journals Criteria for and Appropriateness of Renal Transplantation in Elderly Patients With End-Stage Renal Disease

2016 ◽  
Vol 100 (10) ◽  
pp. e55-e65 ◽  
Author(s):  
Liviu Segall ◽  
Ionuţ Nistor ◽  
Julio Pascual ◽  
Istvan Mucsi ◽  
Lluis Guirado ◽  
...  
Keyword(s):  
Renal Transplantation ◽  
Elderly Patients ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Stage Renal Disease ◽  
End Stage
Sign in / Sign up

Export Citation Format

Share Document