The top 10 things nephrologists wish every primary care physician knew.

Evaluation of a mentorship program to support chronic kidney disease care.

PROBLEM ADDRESSED Primary care providers (PCPs) are ideally situated to detect and manage patients with chronic kidney disease (CKD), but they could use more support from nephrologists to accomplish this. OBJECTIVE OF PROGRAM To improve early detection and management of CKD in primary care, and improve referrals to nephrologists through education and greater partnership between nephrologists ...

Attitudes of Canadian nephrologists, family physicians and patients with kidney failure toward primary care delivery for chronic dialysis patients.

BACKGROUND Nephrologists have traditionally assumed responsibility for both nephrological and primary care health problems of their dialysis patients. However, given the increasing limitations of nephrology human resources, there is concern that traditional models may fall short of providing comprehensive care. METHODS We studied this issue by distributing three different self-administered su...

Gardeners versus mechanics: a case for primary care.

B eorge F. Kennan, the diplomat who G devised the policy of "containment" to tight communism, was asked if he HSa resented not being a celebrity like Henry Kissinger while he was in the State Department. He replied resignedly that he knew himself to be a "gardener"—with a quiet, persevering, style—while Americans prefer "mechanics," flamboyant individuals who solve problems and fix things. Prim...

A systematic review of patient and health system characteristics associated with late referral in chronic kidney disease

BACKGROUND To identify patient and health system characteristics associated with late referral of patients with chronic kidney disease to nephrologists. METHODS MEDLINE, CENTRAL, and CINAHL were searched using the appropriate MESH terms in March 2007. Two reviewers individually and in duplicate reviewed the abstracts of 256 articles and selected 18 observational studies for inclusion. The rea...

Water Scarcity , Water Quality , Risk , and Uncertainty : Things We Wish We Knew