Chronic kidney disease : a quiet revolution in nephrology : six case studies / Richard A. Rettig ... [and others].

Includes bibliographical references.

Introduction: Chronic Kidney Disease, a Major Public Health Imperative -- Overview of Findings -- The Chronic Kidney Disease Clinic at Northwestern University, Chicago, Illinois -- Associates in Nephrology, Chicago, Illinois -- Mayo Clinic Nephrology, Jacksonville, Florida -- Indiana Medical Associates, Fort Wayne, Indiana -- St. Clair Specialty Physicians, P.C., Detroit, Michigan -- Winthrop University Hospital, Division of Nephrology and Hypertension, Mineola, Long Island, New York -- Conclusions and Recommendations -- Appendix: Interview Template.

Examines changes in nephrology as it evolves from a focus on end-stage renal disease (ESRD) to the treatment of earlier stages of chronic kidney disease (CKD). Once patients reach ESRD, treatments are limited to kidney transplantation and dialysis. However, the progression of earlier stages of CKD can be slowed, halted, or reversed when treated. Data from 15 clinics focusing on CKD are examined, with the focus on six case studies. Clinics are still establishing best-practice models, and reimbursement remains a challenge. Recommendations also include widespread education for primary care physicians on how to interpret levels of kidney function and on referral of patients with decreased kidney function to nephrologists before ESRD is reached.

Also available in electronic form via the RAND Corporation Web site.