Chronic Kidney Disease — A Quiet Revolution in Nephrology: Six Case Studies

Richard A. Rettig ; Roberto B. Vargas ; Keith C. Norris ; Allen R. Nissenson

RAND Corporation

RAND Corporation

关键词: Care of Chronic Diseases and Conditions;    Health Care Quality;    Urologic Disorders;    Preventive Health Care;    Health and Health Care;    Health Care Costs;   

ISBN  :  9780833049728
RP-ID  :  TR-826-DREW

学科分类：自然科学（综合）

美国|英语

来源: RAND Corporation Published Research

【 摘 要 】

Examines changes in nephrology as it evolves from a focus on end-stage renal disease (ESRD) to the treatment of earlier stages of chronic kidney disease (CKD). Once patients reach ESRD, treatments are limited to kidney transplantation and dialysis. However, the progression of earlier stages of CKD can be slowed, halted, or reversed when treated. Data from 15 clinics focusing on CKD are examined, with the focus on six case studies. Clinics are still establishing best-practice models, and reimbursement remains a challenge. Recommendations also include widespread education for primary care physicians on how to interpret levels of kidney function and on referral of patients with decreased kidney function to nephrologists before ESRD is reached.