Results of a coordination and shared clinical information programme between primary care and nephrology.

Introduction: The high prevalence of chronic kidney disease (CKD) in the general population has created a need to coordinate specialised nephrology care and primary care. Although several systems have been developed to coordinate this process, published results are scarce and contradictory.

Objective: To present the results of the application of a coordinated programme between nephrology care and primary care through consultations and a system of shared clinical information to facilitate communication and improve the criteria for referring patients.

Impact of end-stage renal disease care in planned dialysis start and type of renal replacement therapy--a Spanish multicentre experience.

Background: Timely referral, preparation and initiation of dialysis remain problematic issues. The purpose of this study is to analyse the effect of chronic renal disease care and education on the mode of dialysis start (planned vs non-planned) and on the modality of renal replacement therapy (RRT).

Methods: A total of 1504 patients from 35 hospitals started RRT in 2003.

Analysis of patient flow into dialysis: role of education in choice of dialysis modality.

Background: Despite advances in predialysis care, morbidity and mortality remain high.

Objectives: To analyze end-stage renal disease (ESRD) patient demographics and clinical data on education on dialysis treatment options, type of chronic renal replacement therapy (RRT), and effects of planned versus non-planned dialysis start.

Methods: 621 patients, from 24 Spanish hospitals, who started RRT in 2002.