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Nephrology Dialysis Transplantation 2007 22(Supplement 9):ix39-ix44; doi:10.1093/ndt/gfm448
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© The Author [2007]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org


How Do We Re-Design the Treatment?

A Background Paper prepared for the UK Consensus Conference on Early Chronic Kidney Disease

Joy Tomlinson

SpR Public Health Medicine, NHS Greater Glasgow & Clyde

Correspondence to: Dr Joy Tomlinson, SpR Public Health Medicine, NHS Greater Glasgow & Clyde. Email: joy.tomlinson@ggc.scot.nhs.uk

The first 150 words of the full text of this article appear below.



   Introduction
 
Early chronic kidney disease (CKD) is now known to be a relatively common problem. Prevalence studies worldwide have estimated that between 6% and 11% of the population has CKD [1]. One recent estimate carried out in the UK found that 4.9% of the general practice population studied had an estimated glomerular filtration rate equivalent to stages 3–5 CKD [2].

There is now reliable research evidence to support a variety of clinical interventions that will benefit patients with CKD [3]. However, very little evidence is available in the literature to recommend the most effective way of delivering healthcare for patients with early CKD [3]. These patients comprise a complex group and unfortunately they often have significant comorbid conditions [4,5]. Specialist services would be overwhelmed if they attempted to manage all patients with early CKD [5]. It is . . . [Full Text of this Article]



   Guidelines
 


   Evidence from the literature
 
Secondary care studies
Primary care studies


   Models of care
 


   Quality and outcomes framework
 


   Cost
 


   Information strategy
 


   Conclusion
 

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