Establishing a renal management clinic in China: initiative, challenges, and opportunities
| Autor: | Song Wang, Tao Wang, Chun Yan Su, Wen Tang, Lian He, Ai-Hua Zhang, Hui Zhong, Xin-Hong Lu, Shao-Yan Chen |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Nephrology
Adult Male Chronic condition medicine.medical_specialty China Adolescent Anemia Urology medicine.medical_treatment Population Overweight Ambulatory Care Facilities Patient Education as Topic Internal medicine medicine Prevalence Humans Organizational Objectives Intensive care medicine education Dialysis Aged Aged 80 and over education.field_of_study business.industry Middle Aged medicine.disease Critical Pathways Kidney Failure Chronic Female medicine.symptom business Body mass index Kidney disease |
| Zdroj: | International urology and nephrology. 40(4) |
| ISSN: | 0301-1623 |
| Popis: | Chronic kidney disease (CKD) has been identified as a growing global burden and traditional health care systems are inadequate for the management of CKD patients. This paper describes an initiative to establish a renal management clinic (RMC) in China and discusses the challenges and opportunities in the management of CKD patients. We collected and analyzed the data for the first 1,000 CKD patients treated since the establishment of the RMC (from April 2006 to April 2007). They had CKD stages 1–4 and stage 5 (before dialysis), as described by the Kidney Outcome Quality Initiatives (KDOQI). They were managed at the RMC established at the Peking University Third Hospital, by a multidisciplinary team (nephrologists, nurses, and dietitians) who developed care plans, clinical pathways, and a multidimensional patient-education program. The most frequent causes of CKD among these 1,000 patient were glomerulonephritis (35%), hypertensive nephrosclerosis (19%), chronic interstitial nephritis (13%), and diabetic nephropathy (11%). Six percent of the patients had stage 1 CKD, 27% stage 2, 33% stage 3, 20% stage 4, and 13% had stage 5. Five hundred and fifty-four were male and 446 were female; mean age was 55 ± 18.9 years (range 18–92 years). Seven hundred and seventy patients (77%) had hypertension; 400 patients (40%) had body mass index (BMI) equal to or higher than 25 kg/m2; 180 (18%) had overt cardiovascular disease; 726 (72.6%) had low-density lipoprotein (LDL)-cholesterol higher than 2.6 mmol/l; 440 patients (44%) had hyperuriemia; and 274 patients (27.4%) had anemia (hemoglobin |
| Databáze: | OpenAIRE |
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