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Titolo:
Quality of treatment of diabetics in renal failure in Germany
Autore:
Keller, C; Ritz, E; Pommer, W; Stein, G; Frank, J; Schwarzbeck, A;
Indirizzi:
Univ Heidelberg, Med Klin, Sekt Nephrol, D-6900 Heidelberg, Germany Univ Heidelberg Heidelberg Germany D-6900 ol, D-6900 Heidelberg, Germany Humboldt Univ, Nephrol Abt, Berlin, Germany Humboldt Univ Berlin Germany umboldt Univ, Nephrol Abt, Berlin, Germany Univ Jena, Med Klin, D-6900 Jena, Germany Univ Jena Jena Germany D-6900Univ Jena, Med Klin, D-6900 Jena, Germany Dialysezentrum, Schwetzingen, Germany Dialysezentrum Schwetzingen Germany alysezentrum, Schwetzingen, Germany Dialysezentrum, Mannheim, Germany Dialysezentrum Mannheim GermanyDialysezentrum, Mannheim, Germany
Titolo Testata:
DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT
fascicolo: 9, volume: 125, anno: 2000,
pagine: 240 - 244
Fonte:
ISI
Lingua:
GER
Soggetto:
NEPHROPATHY; PROGRESSION; MORTALITY; THERAPY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Ritz, E Klinikum Univ Heidelberg, Med Klin, Sekt Nephrol, Bergheimer Str 56A, D-69115 Heidelberg, Germany Klinikum Univ Heidelberg Bergheimer Str 56AHeidelberg Germany D-69115
Citazione:
C. Keller et al., "Quality of treatment of diabetics in renal failure in Germany", DEUT MED WO, 125(9), 2000, pp. 240-244

Abstract

Background and objective: In recent years there has been a rapid increase in the number of dialysis-dependent diabetics in Germany. Survival on dialysis is not satisfactory and damage acquired in the preterminal stage of renal failure is thought to play an important role. Late referral to a nephrologist and insufficient quality of medical management are thought to contribute importantly to poor outcome. This hypothesis was evaluated in the present study. Patients and method: The data of all 173 diabetic patients (16 with type 1, 157 with type 2 diabetes, 90 men, 83 women, mean age 63,3 [31-95] years),who had been referred in 1996 for the first time to five renal units, wereretrospectively assessed using a structured protocol. Results: Patients were usually referred in advanced renal failure (median creatinine clearance 29 ml/min, range 1-216) with insufficient control of systolic (170 [120-260] mmHg) and diastolic blood pressure (90 [60-180] mmHg), insufficient antihypertensive therapy (without treatment 32 of 173 patients; median number of classes of antihypertensive agents used 2 [range 1-6]; ACE inhibitors 79 of 173 patients), high HbA(1c) (7.9 [4.9-15.7] %) and IDL cholesterol (176 [67-307] mg/dl). Immediate dialysis was required in 45 patients. Conclusion:The data document insufficient quality of treatment and late incorporation of a nephrologist into the medical team involved in the care ofdiabetic patients. Changes in the structure of diabetes care are necessaryto improve treatment quality.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 31/03/20 alle ore 22:34:54