The early detection of chronic disease of kidneys: marker of succession in treatment of patients effect on survival and cardiovascular lethality of patients on dialysis

  • 作者: Bikbov B.1,2, Tomilina N.3
  • 隶属关系:
    1. ФБГУ "ФНЦ трансплантологии и искусственных органов им. акад. В.И. Шумакова" Минздрава
    2. ФГБУ ФГОУ "Московский государственный медико-стоматологический университет им. А.И. Евдокимова"
    3. ГБУЗ "ГКБ 52 Департамента здравоохранения г. Москвы", Московский городской нефрологический центр
  • 期: 卷 20, 编号 1 (2014)
  • 页面: 12-17
  • 栏目: Articles
  • URL: https://journals.rcsi.science/0869-2106/article/view/38139
  • DOI: https://doi.org/10.17816/rmj38139
  • ID: 38139

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The chronic disease of kidneys is one of leading causes of premature death and loss of faculty. The article deals with analysis of succession in treatment of nephrology patients involving physicians of different specialties. The evaluation of effect of time of visit of patients with pre-dialysis chronic disease of kidneys to nephrologist on cardiovascular lethality and premature survival of patients on chronic dialysis according data of the Moscow municipal nephrologic register. On the basis of analysis of outcomes of treatment of 9038 patients it is earnestly proved that early appointment to nephrologist condition both better survival of patients on the substitution kidney therapy and lower indicators of lethality at early period of dialysis treatment. According data of multi-factorial analysis the early, prior to 1 year and more to dialysis, registration to nephrologist is a factor of benevolent prognosis of dialysis treatment. Whereas, late, from 3 months to 1 year, and very late, less than 3 months, to dialysis registration at nephrologist was related to increase of relative risk of death up to 31% and 42% correspondingly. The resolution of problem of late detection of patients with chronic disease of kidneys and untimely registration at nephrologist is possible at the expense of following comprehensive measures: increase of awareness of physicians of all specialties about the role of chronic disease of kidney; application of regular screening of chronic disease of kidney in groups of high risk; support of needed succession in treatment of nephrologic patients at the expense of timely appointment to nephrologist based on accepted criteria; development of nephrologic service, primarily out-patient service, in all regions of Russia. The early detection of diseases of kidneys, their proper therapy and timely appointment to nephrologist provide the best prognosis in treatment of patients. The article presents list of diseases to be obligatory screened annually to detect chronic disease of kidneys. The criteria of obligatory appointment of patient to consultation of nephrologist are discussed too.

作者简介

B. Bikbov

ФБГУ "ФНЦ трансплантологии и искусственных органов им. акад. В.И. Шумакова" Минздрава; ФГБУ ФГОУ "Московский государственный медико-стоматологический университет им. А.И. Евдокимова"

Email: boris.bikbov@gmail.com
Отделение нефрологических проблем трансплантации почки; кафедра нефрологии ФПДО

N. Tomilina

ГБУЗ "ГКБ 52 Департамента здравоохранения г. Москвы", Московский городской нефрологический центр

参考

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