Baer Gernot, Lameire Norbert, Van Biesen Wim
Department of Nephrology, Immunology, Rheumatology and Hypertension, Krankenhaus der Barmherzigen Brueder, Trier , Germany.
Renal Division, University Hospital Ghent , Belgium.
NDT Plus. 2010 Feb;3(1):17-27. doi: 10.1093/ndtplus/sfp050. Epub 2009 Apr 29.
Late referral of patients with chronic kidney disease (CKD) is a known problem and a major challenge for practising nephrologists since decades. In this review we report about the reasons for late referral, its epidemiology and socioeconomic impact and the medical particularities of late referred patients. We furthermore highlight on the efforts which have been undertaken so far to avoid late referral and should be undertaken in future to face the ever growing numbers of chronic kidney disease patients.
慢性肾脏病（CKD）患者转诊延迟是一个由来已久的问题，也是几十年来执业肾病学家面临的一项重大挑战。在本综述中，我们报告了转诊延迟的原因、其流行病学和社会经济影响以及延迟转诊患者的医学特点。我们还强调了迄今为止为避免转诊延迟所做的努力，以及未来为应对不断增加的慢性肾脏病患者数量应做出的努力。
