Pre-End-Stage Renal Disease(Pre-ESRD) Care in the U.S.A / 日本農村医学会雑誌
Journal of the Japanese Association of Rural Medicine
; : 720-725, 2000.
Article
in Japanese
| WPRIM (Western Pacific)
| ID: wpr-373685
Responsible library:
WPRO
ABSTRACT
A significant delay in identifying pre-ESRD patients is not infrequent in the U.S.A. because an early examination for proteinuria is not common, and renal disease is infrequently documented even when proteinuria and/or an elevated serum creatinine level have existed. Although there are accepted strategies for slowing the progression of renal disease such as the use of an angiotensin converting enzyme (ACE) inhibitor in diabetic patients or suboptimal blood pressure control in hypertensive patients, these strategies are seldom employed. It is also particularly alarming that the patients are often low in the overall health status, hypoalbumic, or anemic at dialysis initiation, and begin dialysis without permanent vascular access or without any education regarding dialysis therapy in many instances.
Full text:
Available
Database:
WPRIM (Western Pacific)
Aspects:
Patient-preference
Language:
Japanese
Journal:
Journal of the Japanese Association of Rural Medicine
Year:
2000
Document type:
Article