tailieunhanh - Primary Care: Clinics in Office Practice 2008

Tham khảo sách 'primary care: clinics in office practice 2008', y tế - sức khoẻ, y học thường thức phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả | PRIMARY CARE CLINICS IN OFFICE PRACTICE ELSEVIER SAUNDERS Prim Care Clin Office Pract 35 2008 xi-xiii PRIMARY CARE CLINICS IN OFFICE PRACTICE Preface Edgar V. Lerma MD FACP FASN FAHA Guest Editor Chronic kidney disease CKD is a major public health problem. According to the National Health and Nutrition Examination Survey NHANES 1999-2004 approximately 20 million Americans are diagnosed with CKD that is 1 out of 9 adults in the US satisfy the criteria for the diagnosis of CKD. Another 20 million are estimated to be at risk. This projection points to the fact that patients with CKD will soon far outnumber trained nephrologists in the US. This dilemma can be solved only by a collaborative approach between primary care providers and nephrologists. We as nephrologists are well aware that the primary care providers occupy a unique and vital role in this team approach Table 1 . Primary care providers are at the forefront of this war against CKD. They are in a position to be the first to identify and screen patients at risk for CKD eg those with diabetes hypertension etc. They also are providers of long-term care and management of these patients. Nephrologists and nephrology teams contribute to this collaborative process by being involved in the earlier stages of CKD perhaps at the time of diagnosis and also by providing assessments of patients conditions and strategic guides to overall management 1 . An example of this is the administration of erythropoietin a proven and effective treatment strategy that is not available in many primary care establishments 1 . To be effective however our ultimate goal as primary care providers and nephrologists alike is to be able to educate and empower patients so that they will be able to take charge of their disease. 0095-4543 08 - see front matter 2008 Elsevier Inc. All rights reserved. doi xii PREFACE Table 1 Team approach to the role of primary care physician and .

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