Publications by authors named "Cosimo Spinelli"

Introduction: We conducted a survey interviewing end-stage renal disease (ESRD) patients just after they began chronic dialysis (CD) to describe characteristics and factors associated with early (ER) and late referral (LR), and to analyze the consequences of timing of referral to a nephrologist.

Methods: We interviewed 673 patients via telephone starting CD between 2004 and 2006 in Lazio, Italy, to collect information about the year before CD. Multiple logistic regression was performed to evaluate the factors associated with LR.

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This is the second part of a document describing a voluntary certification process based on Joint Commission International (JCI) criteria developed by the Italian Society of Nephrology (SIN) and JCI representatives. In the first part we discussed standards for clinical care delivery and performance measurements related to chronic kidney disease care. Herein (Part II), we complete the description of Performace measurements and CKD care by describing issues related the management and clinical information management.

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Article Synopsis
  • Chronic kidney diseases (CKD) are becoming a major public health concern, leading to a push for better quality of care in renal units.
  • The Italian Society of Nephrology (SIN) is taking action by collaborating with an independent company affiliated with Joint Commission International (JCI) to create a quality certification process for CKD care.
  • A document detailing this voluntary certification process has been developed, focusing on clinical care standards and performance measurements in Part I, with a second part addressing program and clinical information management to follow.
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