Late referral of end-stage renal failure

P. Ellis
1998 QJM: Quarterly journal of medicine  
We studied all new patients accepted for renal of the late referral and early referral groups being 60.5% and 72.5%, respectively ( p=NS). replacement therapy (RRT) in one unit from 1/1/96 to 31/12/97 (n=198), to establish time from neph-Hypertension was found in 159 patients (80.3%): 46 (28.9%) were started on antihypertensive rology referral to RRT, evidence of renal disease prior to referral and the adequacy of renal manage-medication following referral, while a further 28 (17.6%) were
more » ... d on additional antihypertens-ment prior to referral. Sixty four (32.3%, late referral group) required RRT within 12 weeks of referral. ives. Of the diabetic population (n=78), only 26 (33.3%) were on an angiotensin-converting-enzyme Fifty-nine (29.8%) had recognizable signs of chronic renal failure >26 weeks prior to referral. Patients inhibitor (ACEI) at referral. Many patients are referred late for dialysis despite early signs of renal starting RRT soon after referral were hospitalized for significantly longer on starting RRT (RRT within failure, and the pre-referral management of many of the patients, as evidenced by the treatment of 12 weeks of referral, median hospitalization 25.0 days (n=64); RRT >12 weeks after referral, median hypertension and use of ACEI in diabetics, is less than optimal. 9.7 days (n=126), ( p<0.001)). Observed survival at 1 year was 68.3% overall, with 1-year survival
doi:10.1093/qjmed/91.11.727 pmid:10024934 fatcat:7e6jhvxfubbqpd7fm5dopo6gfu