Late referral of patients with chronic kidney disease (CKD) to the Nephrologist is associated with higher mortality. We have evaluated the impact of early referral to Nephrologist in a specialized health care service in Fortaleza, Ceará, Brazil. A total of 98 patients were analyzed. Mean age was 60.9±5 years, and the majority of them were female (56.1%). The majority of patients was in stage III of CKD (43.8%), followed by stage II (24.4%). In the re-evaluation, after 6 months of follow-up, 37.9% of patients had renal function improvement and were classified in a new CKD stage. Early Nephrologist referral seems to be adequate and can be associated with lower incidence of complications, need of dialysis and mortality.
from International Archives of Medicine