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Outcomes Of Early Versus Late Nephrology Referral In Chronic Kidney Disease – A Systematic Review, Neil A. Smart Assoc. Prof.
Outcomes Of Early Versus Late Nephrology Referral In Chronic Kidney Disease – A Systematic Review, Neil A. Smart Assoc. Prof.
Neil Smart
Background As late provision of specialist care, prior to starting dialysis therapy, is believed to be associated with increased morbidity and mortality, a systematic review was undertaken to evaluate clinical outcomes relating to early versus late referral of patients to nephrology services.
Methods: Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE and EMBASE were searched up until September 2008 for studies of early versus late nephrology referral in adult (>18 years) patients with chronic kidney disease. Early referral was defined by the time period, at which patients were referred to a nephrologist.
Findings: No randomized, controlled trials were found. …