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NDT Plus Advance Access published online on April 29, 2009
NDT Plus, doi:10.1093/ndtplus/sfp050
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© The Author [2009]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Late referral of patients with end-stage renal disease: an in-depth review and suggestions for further actions

Gernot Baer1, Norbert Lameire2 and Wim Van Biesen2

1 Department of Nephrology, Immunology, Rheumatology and Hypertension, Krankenhaus der Barmherzigen Brueder, Trier, Germany
2 Renal Division, University Hospital Ghent, Belgium

Correspondence: Gernot Baer; E-mail: G.Baer{at}bk-trier.de


  Abstract

Late referral of patients with chronic kidney disease (CKD) is a known problem and a major challenge for practising nephrologists since decades. In this review we report about the reasons for late referral, its epidemiology and socioeconomic impact and the medical particularities of late referred patients. We furthermore highlight on the efforts which have been undertaken so far to avoid late referral and should be undertaken in future to face the ever growing numbers of chronic kidney disease patients.

Key Words: end-stage renal disease

Received for publication April 3, 2009. Accepted for publication April 6, 2009.


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