Des premiers symptômes à lˈinsuffisance rénale terminale : nécessité du suivi néphrologique
La Revue de Médecine InternePublished 1 March 2001
Florence Ledoux, D Rasamimanantsoa, Bruno Moulin, Thierry Hannedouche
Citations12
SJR quartileQ3
SJR score0.25
SNIP0.39
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TL;DR
Early nephrologic referral and timely initiated dialysis decrease morbidity at the start of dialysis and both hospitalisation length and costs and strongly and independently predicted by age, diabetes and hypoalbuminemia.
Abstract
Early nephrologic referral and timely initiated dialysis decrease morbidity at the start of dialysis and both hospitalisation length and costs.
Keywords
Medicine
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Low urea reduction ratios during dialysis are associated with increased odds ratios for death, and these risks are worsened by inadequate nutrition.
Annals of Internal MedicineEffect of Angiotensin-Converting Enzyme Inhibitors on the Progression of Nondiabetic Renal Disease
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Kidney InternationalSerum albumin is a strong predictor of death in chronic dialysis patients
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The predictive value of various clinical variables in assessing survival in chronic hemodialysis patients who were under treatment with hemodIALysis as of January 1991 in Okinawa, Japan and who were followed up until April 1992 was examined.
PubMedLate referral to maintenance dialysis: detrimental consequences.
249 Citations1993P Jungers, J. Zingraff +5 more
Journal of the American Society of NephrologyPredictors of mortality in hemodialysis patients.
245 Citations1993Philip Goldwasser, Neal Mittman +5 more
American Journal of Kidney DiseasesEarly referral to the nephrologist and timely initiation of renal replacement therapy: A paradigm shift in the management of patients with chronic renal failure
235 Citations1998Gregorio T. Obrador, BJ Pereira
Optimal pre-end-stage renal disease care involves early interventions aimed at delaying progression of chronic renal failure, judicious management of uremic complications, timely placement of vascular access, timely initiation of renal replacement therapy, and implementation of educational programs targeted at maximum rehabilitation.
American Journal of Kidney DiseasesMarkers for survival in dialysis: A seven-year prospective study
233 Citations1995Morrell M. Avram, Neal Mittman +3 more
It is suggested that biochemical measures associated with visceral and somatic protein depletion are predominant long-term mortality risk factors in patients maintained on hemodialysis and CAPD.
BMJIs there a rationale for rationing chronic dialysis? A hospital based cohort study of factors affecting survival and morbidity
216 Citations1999Shahid M. Chandna, Jörg B. Schulz +3 more
Severity of comorbid conditions and functional capacity are more important than age in predicting survival and morbidity of patients on dialysis.
The American Journal of MedicinePredictors of survival in patients undergoing dialysis
190 Citations1988Lionel U. Mailloux, Alessandro G. Bellucci +5 more
It is concluded that although patients with high risk have an increased and a high mortality, overall survival has improved, and home hemodialysis patients survived longer compared with patients utilizing other dialysis modalities, possibly because of a younger average age and a lower incidence of diabetes mellitus and renal vascular disease.
Nephrology Dialysis TransplantationLate diagnosis of chronic renal failure and mortality on maintenance dialysis
189 Citations1996Ricardo Sesso, Angélica Gonçalves Silva Belasco
Patients with a late diagnosis of chronic renal failure have a higher mortality risk during the first 6 months of maintenance dialysis, related to comorbid conditions, some of which could be prevented by predialysis care.
American Journal of Kidney DiseasesExcess morbidity in patients starting uremia therapy without prior care by a nephrologist
186 Citations1996Onyekachi Ifudu, Mohammed Dawood +2 more
It is inferred that initiation of uremia therapy is delayed in inner-city residents with progressive renal failure who do not receive specialist nephrologic care, and that as a consequence these patients suffer excess short-term morbidity.
American Journal of Kidney DiseasesPredictors of Survival in Continuous Ambulatory Peritoneal Dialysis Patients: The Importance of Prealbumin and Other Nutritional and Metabolic Markers
185 Citations1994Morrell M. Avram, Philip Goldwasser +2 more
Markets of visceral and somatic nutrition are important and independent predictors of mortality risk in continuous ambulatory peritoneal dialysis patients and patients with diabetes are at an increased risk even after adjusting for somatic and visceral protein status.
American Journal of Kidney DiseasesDeath risk predictors among peritoneal dialysis and hemodialysis patients: A preliminary comparison
180 Citations1995Edmund G. Lowrie, Wei Huang +1 more
In general, the associates of survival appear similar among patients receiving peritoneal or hemodialysis, and important variables appear related to nutrition, acid-base status, and age.
BMJLate referral for maintenance dialysis.
177 Citations1984Peter J. Ratcliffe, R E Phillips +1 more
A study of patients accepted for maintenance dialysis at the Oxford renal unit in 1981 showed that 23 out of 55 patients were referred late, very shortly before the need for dialysis, associated with a higher morbidity at the start of dialysis which may have been preventable.
American Journal of Kidney DiseasesEarly referral and its impact on emergent first dialyses, health care costs, and outcome
174 Citations1998Rj Schmidt, JR Domico +2 more
There was no statistically significant difference in long-term survival when ER patients are compared with LR patients or when patients who had received emergent HD were compared with those who had not, and the financial costs of emergentHD alone merit greater promotion of ER and the psychosocial preparation and modality choice it allows.
Nephrology Dialysis TransplantationEarly deaths on renal replacement therapy: the need for early nephrological referral
160 Citations1992Andrew J. Innes, P. A. Rowe +2 more
Early death on renal replacement therapy appears to be associated with late referral to a nephrologist, and early referral may be beneficial because it allows for planning of dialysis and treatment of the complications of progressive uraemia.
BMJIncidence of advanced chronic renal failure and the need for end stage renal replacement treatment.
143 Citations1990Terry Feest, Chandra D. Mistry +2 more
Many patients suitable for renal replacement treatment are still not referred for nephrological opinion and are denied treatment, and the number of patients receiving treatment would rise to about 800 per million, which has considerable but predictable resource implications for the NHS.
American Journal of Kidney DiseasesDeath during the first 90 days of dialysis: A case control study
135 Citations1995Izhar Khan, Graeme Catto +2 more
Comparison of survival data among centers may be used to assess performance, but may be influenced by the number of patients who die during the first 90 days of renal replacement therapy (RRT), to study factors influencing such deaths.
QJMChronic renal failure: factors influencing nephrology referral
122 Citations1994I.H. Khan, G. R. D. Catto +2 more
This method of risk stratification identifies patients (particularly those with advanced CRF) likely to have a poor outcome irrespective of referral to a nephrologist, which has considerable implications for future planning and funding of renal services.
PubMedDetrimental effects of late referral in patients with chronic renal failure: a case-control study.
110 Citations1993Paul Jungers, J Zingraff +4 more
Clinical status and laboratory features in 20 patients who had been referred to us less than one month prior to first HD (late referral, or LR group) and in 20 sex- and age-matched controls who had undergone regular follow-up for at least six months prior to HD (early referrals, or ER group) were compared.
Archives of Internal MedicineReferral for Dialysis in Ontario
104 Citations1995David C. Mendelssohn
It is suggested that nonreferral for dialysis occurs in Ontario and that the act of referral, or nonreFERral as the case may be, is influenced by both age and coexisting disease.
JAMAEffect of Age and Diagnosis on Survival of Older Patients Beginning Chronic Dialysis
93 Citations1994Colene Byrne
Mortality rates of patients older than 55 years beginning chronic dialysis treatment increased dramatically as age at initiation of dialysis increased, and Clinically meaningful survival data should prove useful to persons making decisions about the initiation of chronicdialysis.
PubMedSurvival estimates for 683 patients starting dialysis from 1970 through 1989: identification of risk factors for survival.
82 Citations1994L.U. Mailloux, Alessandro G. Bellucci +4 more
Pairwise comparisons of the renal diagnostic groups found patients with polycystic kidneys, interstitial disease and chronic glomerulonephritis to have better survival than patients with diabetes mellitus, renal vascular disease or the "other" diagnoses.
Nephrology Dialysis TransplantationThe medical and economical advantages of early referral of chronic renal failure patients to renal specialists
78 Citations1998Nahla Irtiza Ismail
QJMLate referral of end-stage renal failure
68 Citations1998Peter Ellis
Many patients are referred late for dialysis despite early signs of renal failure, and the pre-referral management of many of the patients, as evidenced by the treatment of hypertension and use of ACEI in diabetics, is less than optimal.
ASAIO JournalThe Impact of Co-Morbid Risk Factors at the Start of Dialysis Upon the Survival of ESRD Patients
62 Citations1996Lionel U. Mailloux, BARBARA NAPOUTANO +4 more
The authors' hypothesis that incoming end‐stage renal disease patients, who recently start dialysis, are sicker than in the earlier years of the authors' program is supported.
ASAIO JournalEffect of Coexistent Diseases on Survival of Patients Undergoing Dialysis
60 Citations1992Antonio Nicolucci, DOLLY CUBASSO +10 more
Co-morbidity is a powerful independent prognostic factor in determining the mortality of ESRD patients, as is the case with other chronic conditions.
PubMedEnd-stage renal disease treatment: a European perspective.
49 Citations1998Wim Van Biesen, M. Wiedemann +1 more
It is concluded that late referral to a nephrologist is still a major problem that has a negative influence on modality choice for peritoneal dialysis, and on morbidity and mortality of ESRD patients.
PubMedPre-end-stage renal disease care in the United States: a state of disrepair.
49 Citations1998Gregorio T. Obrador, Puneet Arora +2 more
This review examines the prevalence of several factors that could reasonably be used to define suboptimal pre-ESRD care, including failure of early detection of renal disease, paucity of interventions to slow its progression, predialysis hypoalbuminemia and severe anemia, suboptical pre- ESRD education and uninformed choice of modality of RRT, delayed placement of a permanent vascular access, and delayed initiation of R RT.
Nephrology Dialysis TransplantationComorbidity: the major challenge for survival and quality of life in end-stage renal disease
48 Citations1998I.H. Khan
Nephrology Dialysis TransplantationLate referral to maintenance dialysis: detrimental consequences
35 Citations1993P Jungers, J. Zingraff +5 more
Clinical and laboratory features of 65 patients who had been referred less than 1 month prior to first dialysis (late referral) and of 153 patients whoHad been previously followed-up by us for more than 6 months (early referral, or ER group) were similar in the two groups.
PubMed[Benefits of early nephrological management in chronic renal failure].
26 Citations1997P Jungers, Habib Skhiri +8 more
Closer cooperation between family physicians and nephrologists is needed to provide optimal management and allow timely preparation to maintenance dialysis of CRF patients.
ASAIO JournalThe Impact of Co-Morbid Risk Factors at the Start of Dialysis Upon the Survival of ESRD Patients
20 Citations1996Lionel U. Mailloux, Barbara Napolitano +4 more
JAMAEffect of age and diagnosis on survival of older patients beginning chronic dialysis
18 Citations1994C. Byrne
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15 Citations1997P Jungers, H. Skhiri +8 more
Une prise en charge nephrologique trop tardive de l'IRC, observee encore dans pres de 20 p.100 des cas en dehors de tout probleme d'acces aux soins, se revele prejudiciable pour les patients dont elle obere la qualite de vie et qu'elle oblige a une longue hospitalisation.
PubMed[Value of early management of patients with chronic renal failure].
5 Citations1997M. Kessler
The higher morbidity and increased cost of the first hospitalization in patients without prior follow-up is demonstrated and an optimal treatment aimed at preserving renal function as long as possible can have a beneficial effect on preventing higher morbidities and mortality after beginning substitution therapy.