Comanagement of Diabetic Kidney Disease by the Primary Care Provider and Nephrologist

被引：19

作者：

Bowman, Brendan T. ^{[1
]}

Kleiner, Amanda ^{[2
]}

Bolton, W. Kline ^{[1
]}

机构：

[1] Univ Virginia Hlth Syst, Dept Med, Div Nephrol, Charlottesville, VA 22908 USA

[2] Univ Virginia Hlth Syst, Dept Med, Div Endocrinol, Charlottesville, VA 22908 USA

来源：

MEDICAL CLINICS OF NORTH AMERICA | 2013年 / 97卷 / 01期

关键词：

Comanagement; Internist; Collaborative care; Diabetic kidney disease; GLOMERULAR-FILTRATION-RATE; RENAL REPLACEMENT THERAPY; GLYCEMIC CONTROL; CARDIOVASCULAR EVENTS; NATIONAL-HEALTH; UNITED-STATES; PATIENT; CKD; MELLITUS; MANAGEMENT;

D O I：

10.1016/j.mcna.2012.10.012

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Diabetic kidney disease (DKD) is a common disorder, and few patients achieve current therapeutic targets. Careful collaboration between all health care providers and the creation of disorder-specific health care systems seem to offer the best opportunity for improving the management and clinical outcomes of these patients. This article explores the barriers to effective collaboration between physicians in the management of patients with DKD, attitudes and perceptions of physicians toward collaborative management, and the physiologic challenges in patients with DKD that would warrant specialist involvement in their care. A model for collaborative DKD care delivery is also proposed.

引用

页码：157 / +

页数：19

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