The timing of specialist evaluation in chronic kidney disease and mortality.

  title={The timing of specialist evaluation in chronic kidney disease and mortality.},
  author={Kraig S. Kinchen and John Sadler and Nancy E. Fink and Ronald S. Brookmeyer and Michael J. Klag and Andrew S. Levey and Neil R. Powe},
  journal={Annals of internal medicine},
  volume={137 6},
Context In the United States, the 5-year survival of patients undergoing dialysis is 29%. Early nephrologist evaluation is associated with better outcomes, but 25% of patients first see a nephrologist within a month of beginning dialysis. Contribution Late nephrology evaluation (<4 months before start of dialysis) was most common among black men, uninsured patients, and patients with severe comorbid illness. The later the first evaluation by a nephrologist, the greater the risk for death… CONTINUE READING


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