title: [Assessment of epidemiological profile of patients and their difficulties for the first query in the screening ambulatory of Nephrology UNIFESP-EPM].
abstract: BACKGROUND
  The aim of this study was to evaluate the epidemiologic profile of patients and difficulties of patients referred by basic health units (UBS) or other hospitals, outpatient screening of the Division of Nephrology, Hospital São Paulo (UNIFESP) for evaluation and treatment kidney disease.
  
  
  METHODS
  From February to September 2009, has been evaluated 341 patients referred from UBS in São Paulo and other parts of the Country.
  
  
  RESULTS
  Of these patients, 26% (86/341) required for new tests to confirm the diagnosis doubtful for referrals, incomplete, or because of the waiting period for the care and exams, which ranged from one week to three years, and part of them did not bring any kind of examination for the evaluation, 12% (45/341) returned for follow-up at the unit location, 13% (46/341) were referred for treatment site closest to their residence, 47% (164/341) for our sub-specialty Clinics of Nephrology (HSP): 24% (82/341) uremia, 8% (27/341) with polycystic kidney disease, 7% (23/341) for hypertension, 4% (16/341) renal Lithiasis and 4% (16/341) nephritis.
  
  
  CONCLUSIONS
  Our results suggest investments investment in infrastructure in the training of officials of UBS and HSP, reorganization of central references for better management and referral of patients, humanization of care and training of health professionals for outpatient care at UBS in preventive work and basic monitoring of patients, particularly those with diabetes mellitus and hypertension, which can lead to the development of chronic kidney disease (CKD).
authors: Universidade Federal de São Paulo, Ribeirão Pires, SP, Brasil.
authors: Cícera Sebastiana da Silva
authors: CS
authors: Padovani
mesh_terms: D000328:Adult; D000553:Ambulatory Care; D000554:Ambulatory Care Facilities; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D007674:Kidney Diseases / Q000453:epidemiology*; D008875:Middle Aged; D009398:Nephrology; D055815:Young Adult