| Theme | Importance of Preservative Management in Chronic Renal Failure -- for a Better Dialysis | |
|---|---|---|
| Title | Cooperation between hospitals/clinics and nephrologists | |
| Publish Date | 2004/06 | |
| Author | Noritomo Itami | Kidney Center, Medical Corporation Caress Alliance, Nikko Memorial Hospital |
| Author | Seiji Ohira | Sapporo Kita Clinic |
| Author | Hiromi Hamada | Department of Surgery, Medical Corporation Caress Alliance, Nikko Memorial Hospital |
| Author | Joji Takada | Department of Surgery, Medical Corporation Caress Alliance, Nikko Memorial Hospital |
| Author | Yoshio Katsuki | Department of Surgery, Medical Corporation Caress Alliance, Nikko Memorial Hospital |
| Author | Yasushige Tsuji | Department of Surgery, Medical Corporation Caress Alliance, Nikko Memorial Hospital |
| Author | Kazumasa Tsunoda | Medical Corporation Caress Alliance, Noboribetsu Memorial Hospital |
| [ Summary ] | Close cooperation between general physicians and nephrologists is necessary in order for chronic end stage renal failure patients to continue dialysis therapy in good condition with few complications. It is recommended that, in cases in which the physician is unfamiliar with renal diseases, where the glomerular filtration rate (GFR) becomes 30 ml/min, the patient should be referred to a specialist. Patients should receive information regarding dialysis methods and transplantation, also thorough testing and preparation for access should be performed. If kidney functions are evaluated by serum creatinine levels only, in elderly patients and at various times, GFR is easily overestimated. In the future, in Japan, the utilization of an appropriate method of estimating GRF and the construction of joint guidelines regarding pre-dialysis treatment with input from representatives of the societies of dialysis physicians, nephrologists, diabetes and geriatrics is necessary. |
|