Research Brief
A "Quiet Revolution" in Nephrology: Challenges and Opportunities for Advancing the Treatment of Chronic Kidney Disease
Jul 30, 2010
Six Case Studies
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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.
Chapter One
Introduction: Chronic Kidney Disease, a Major Public Health Imperative
Chapter Two
Overview of Findings
Chapter Three
The Chronic Kidney Disease Clinic at Northwestern University, Chicago, Illinois
Chapter Four
Associates in Nephrology, Chicago, Illinois
Chapter Five
Mayo Clinic Nephrology, Jacksonville, Florida
Chapter Six
Indiana Medical Associates, Fort Wayne, Indiana
Chapter Seven
St. Clair Specialty Physicians, P.C., Detroit, Michigan
Chapter Eight
Winthrop University Hospital, Division of Nephrology and Hypertension, Mineola, Long Island, New York
Chapter Nine
Conclusions and Recommendations
Appendix
Interview Template
This work was sponsored by the National Institutes of Health's National Center for Research Resources, which funded the Comprehensive Center for Health Disparities at Charles Drew University. The research was conducted in RAND Health, a division of the RAND Corporation.
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