title: From CKD to ESRD: a tale of two transitions.
abstract: Transitions in levels of health offer important opportunities to affect patient outcomes. The transition from CKD to ESRD and dialysis dependence is costly in personal, social, and economic terms. This paper reviews these costs and offers resources that can be used by physicians and medical teams to help patients and their families weather the challenges of this process.
authors.affiliation: Nephrophiles, LLC, Santa Fe, New Mexico 87505, USA. rjkneph@aol.com
authors.forename: Robert Jan
authors.initials: RJ
authors.lastname: Kossmann
mesh_terms: D018450:Disease Progression; D005260:Female; D006279:Health Maintenance Organizations / Q000191:economics; D006801:Humans; D007676:Kidney Failure, Chronic / Q000191:economics* / Q000523:psychology / Q000628:therapy; D008297:Male; D006278:Medicare / Q000191:economics; D017410:Practice Guidelines as Topic; D051436:Renal Insufficiency, Chronic / Q000191:economics* / Q000523:psychology / Q000628:therapy; D017582:Renal Replacement Therapy / Q000191:economics / Q000523:psychology; D016896:Treatment Outcome; D014481:United States