title: [Clinical nephrological care not associated with substitutive treatment: the current situation and future needs for outpatient nephrology consultations].
abstract: The activity of an out-patient nephrology service during a period lasting from January 1991 to December 1993 (both inclusive) was studied. During this period, an average of 531 patients per million population and year were looked after, with a prevalence of 1,949 p.m.p. of chronic patients. Eleven point six per cent of the patients were discharged and 2.6% initiated treatment with hemodialysis, deducting nonappearances after examination, 66.9% of the patients were referred to permanent follow-up. Sixty seven point five per cent of the patients were older than 40 years and 31.2%, older than 60. The most frequent causes of consultation were AHT (17.4%), nephroangiosclerosis (5.7%), renal lithiasis (16.8%), idiopathic glomerulonephritis (10.9%) and diabetic nephropathy (8.2%). Fifty eight point five per cent of the patients were susceptible of out-patient care, especially those seen due to hypertension and lithiasis. We conclude that a significant increase in the needs of specialized care may be forecasted for the next years, mainly for arterial hypertension. Most of these needs could be covered through out-patient nephrology services.
authors.affiliation: Sección de Nefrología, Hospital Regional Infanta Cristina, Badajoz.
authors.forename: N R
authors.initials: NR
authors.lastname: Robles
authors.forename: F
authors.initials: F
authors.lastname: Roncero
authors.forename: E
authors.initials: E
authors.lastname: Sánchez Casado
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D002648:Child; D002908:Chronic Disease; D005500:Follow-Up Studies; D006301:Health Services Needs and Demand / Q000458:organization & administration* / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D007674:Kidney Diseases / Q000453:epidemiology / Q000628:therapy; D008875:Middle Aged; D009398:Nephrology / Q000458:organization & administration* / Q000706:statistics & numerical data; D010044:Outpatient Clinics, Hospital / Q000706:statistics & numerical data*; D015995:Prevalence; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D013030:Spain / Q000453:epidemiology
vernacular_title: Asistencia clínica nefrológica no asociada al tratamiento sustitutivo: situación actual y necesidades futuras de las consultas externas de nefrología.