A Case for More Frequent, Not Just Earlier, Nephrology Care of Patients Approaching ESRD?

In addition to initiating patients on dialysis treatment or assisting in the management of kidney transplantation, nephrologists have a crucial role in managing patients with progressive chronic kidney disease (CKD) and preparing them for the transition to end-stage renal disease (ESRD). Patients with earlier nephrology referral survive longer after starting dialysis.1 Earlier nephrology referral is also associated with higher likelihoods of arteriovenous fistula or graft use among those initiating hemodialysis, of selecting home dialysis modalities, and of wait listing for a kidney transplant.

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