Survey of determinants and effects of timing of referral to a nephrologist: the patient's point of view.
Conclusions: The percentage of self-reported LR was lower than reported in other studies. However, many patients started CD in an emergency, with a catheter as first vascular access, without vaccination against HBV and without the possibility of choosing their dialysis modality. Individual conditions facilitating contact with medical care (older age and presence of comorbidities) seem to be associated with a lower probability of LR. These findings emphasize the importance of predialysis patient training, confirming the important role that information plays in health service access, to improve early and long-term dialysis outcomes.
PMID: 20155727 [PubMed - as supplied by publisher] (Source: Journal of Nephrology)