Increasing Rates of Kidney Failure Care in Canada Strains Demand for Kidney Donors

Terner, Michael; Redding, N; Wu, Juliana

doi:10.12927/hcq.2016.24864

Cited by 10 publications

(9 citation statements)

References 16 publications

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“…In addition to the human suffering, management of CKD is costly ( 79 , 80 ). In the United States, the annual cost of each patient undergoing dialysis ranges between 26,000 and 85,000 US dollars, depending on type of dialysis ( 60 , 62 , 79 , 81 ).…”

Section: Chronic Kidney Diseasementioning

confidence: 99%

Patient-Reported Outcomes in Patients with Chronic Kidney Disease and Kidney Transplant—Part 1

et al. 2018

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Chronic kidney disease (CKD) is a complex medical condition that is associated with several comorbidities and requires comprehensive medical management. Given the chronic nature of the condition, its frequent association with psychosocial distress, and its very significant symptom burden, the subjective patient experience is key toward understanding the true impact of CKD on the patients’ life. Patient-reported outcome measures are important tools that can be used to support patient-centered care and patient engagement during the complex management of patients with CKD. The routine collection and use of patient-reported outcomes (PROs) in clinical practice may improve quality of care and outcomes, and may provide useful data to understand the disease from both an individual and a population perspective. Many tools used to measure PROs focus on assessing health-related quality of life, which is significantly impaired among patients with CKD. Health-related quality of life, in addition to being an important outcome itself, is associated with clinical outcomes such as health care use and mortality. In Part 1 of this review, we provide an overview of PROs and implications of their use in the context of CKD. In Part 2, we will review the selection of appropriate measures and the relevant domains of interest for patients with CKD.

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Section: Chronic Kidney Diseasementioning

confidence: 99%

Patient-Reported Outcomes in Patients with Chronic Kidney Disease and Kidney Transplant—Part 1

et al. 2018

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“…El protocolo de estudio en el donador renal incluye una diversidad de estudios bioquímicos, bacteriológicos, virales, inmunológicos y de imagen, que de manera relativa ofrecen cierto grado de complejidad al equipo de salud; sin embargo, una vez que este grupo multidisciplinario adopta esta práctica y los estudios se realizan con mayor frecuencia, se convierten en procedimientos cotidianos, en donde los profesionales de la salud se adaptan, los integran y dominan; de manera que prácticamente no existen obstáculos para realizarlos. 5 Los laboratorios de histocompatibilidad aún no tienen los recursos necesarios para realizar pruebas cruzadas y human leucocyte antigen (HLA), que deberían dar la pauta inicial para el estudio tanto de donadores como receptores, lo cual sería de gran utilidad para mejorar la donación de manera local, regional y hasta internacional, 6,7 práctica no aprobada por la Ley General de Salud de México; por lo tanto, no promovida por el IMSS. La supervivencia del injerto renal en los últimos años supera el 95% al primer año de trasplante y alcanza el 90% a los cinco años, lo cual es producto de la mejor selección de los donadores y la efectividad de los medicamentos inmunosupresores.…”

Section: Materials Y Métodosunclassified

Comportamiento de la referencia a trasplante renal en el Instituto Mexicano del Seguro Social

Méndez-Durán¹

2020

Revista Mexicana De Trasplantes

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Introduction: The substitute therapies of the renal function constitute a support of life, nevertheless they are temporary treatments until realizing renal transplantation (TR), meanwhile the complications are present the deterioration of the quality and reduction of the life expectancy. The TR rehabilitates, gives the possibility of a normal life, family, social and labor reintegration. The reference to TR day by day becomes more frequent and knowing the behavior will allow to implement improvement strategies. Material and methods: Retrospective and cross-sectional study conducted from 2014 to 2019, includes data on references to TR generated by the general and regional hospitals of the IMSS of subjects up to 65 years of age. Reference location is identified, gender, age, cause of chronic renal failure (CRF), modality of replacement therapy. Results: 19,979 patients were referred, 12,386 were male (62%) and 7,593 female (38%), aged 1 to 65 years, the group of 20 to 29 years was the most prevalent (30%). The highest number of references received peritoneal dialysis 9,166 (46%), hemodialysis 8,981 (45%), and 1,832 (9%) pre-dialysis. The reference increased 8.7% annual average in all the dialysis modalities. Conclusions: The reference presents a continuous increase and pre-dialysis patients each year are referred in greater numbers. The demand for renal transplantation exceeds the needs of the institution and offers a large area of opportunity to favor a greater number of patients.

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“…4 This environment exerts pressure on the health care system to provide both high-quality and costeffective care for patients with CKD, at a time when the incidence and prevalence of patients receiving dialysis and transplant care in Canada are steadily increasing. 4 Therefore, it is not surprising a recent survey found that more than 40% of nephrologists reported burnout, one of the highest proportions of all specialties. 5 Quality improvement (QI) may provide the framework and tools to meet these challenges.…”

Section: Why Nephrology and Why Now?mentioning

confidence: 99%

A National Vision for Quality Improvement in Canadian Nephrology—The Canadian Nephrology Quality Improvement and Implementation Science Collaborative (CN-QUIS): An Opinion Piece

Levin

Silver

2020

Can J Kidney Health Dis

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Increasing Rates of Kidney Failure Care in Canada Strains Demand for Kidney Donors

Cited by 10 publications

References 16 publications

Patient-Reported Outcomes in Patients with Chronic Kidney Disease and Kidney Transplant—Part 1

Patient-Reported Outcomes in Patients with Chronic Kidney Disease and Kidney Transplant—Part 1

Comportamiento de la referencia a trasplante renal en el Instituto Mexicano del Seguro Social

A National Vision for Quality Improvement in Canadian Nephrology—The Canadian Nephrology Quality Improvement and Implementation Science Collaborative (CN-QUIS): An Opinion Piece

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