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Acute Kidney Injury - Potentials to Improve AKI-Related Health Care Structure.

Abstract Since 2005 the AKI numbers nearly increased threefold. The prevailing health care structure for AKI-management in Germany possesses major potential for improvement. Despite a clear advantage regarding mortality and renal recovery, the cost-intensive CRRT is the predominant procedure in AKI-therapy. Conversion of 85 % of the CRRT-procedures to a dialysis procedure (IHD/SLED) enables annual savings in AKI-therapy by 7.3 million Euros. A reinvestment can finance a strengthened collaboration with licensed nephrologists to improve therapy quality and availability of RRT-units in local hospitals. The the long term aim is the establishment of national therapy guidelines. Lower consequential costs are crucial incentives.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title deutsche medizinische wochenschrift (1946)
Publication Year Start




PMID- 28388752
OWN - NLM
STAT- MEDLINE
DA  - 20170407
DCOM- 20170414
LR  - 20170414
IS  - 1439-4413 (Electronic)
IS  - 0012-0472 (Linking)
VI  - 142
IP  - 7
DP  - 2017 Apr
TI  - [Acute Kidney Injury - Potentials to Improve AKI-Related Health Care Structure].
PG  - 534-540
LID - 10.1055/s-0042-120808 [doi]
AB  - Since 2005 the AKI numbers nearly increased threefold. The prevailing health care
      structure for AKI-management in Germany possesses major potential for
      improvement. Despite a clear advantage regarding mortality and renal recovery,
      the cost-intensive CRRT is the predominant procedure in AKI-therapy. Conversion
      of 85 % of the CRRT-procedures to a dialysis procedure (IHD/SLED) enables annual 
      savings in AKI-therapy by 7.3 million Euros. A reinvestment can finance a
      strengthened collaboration with licensed nephrologists to improve therapy quality
      and availability of RRT-units in local hospitals. The the long term aim is the
      establishment of national therapy guidelines. Lower consequential costs are
      crucial incentives.
CI  - (c) Georg Thieme Verlag KG Stuttgart . New York.
FAU - Nusshag, Christian
AU  - Nusshag C
AD  - Klinik fur Nephrologie, Universitatsklinikum Heidelberg.
FAU - Obermann, Konrad
AU  - Obermann K
AD  - Mannheim Institute of Public Health (MIPH), Universitat Heidelberg.
FAU - Weigand, Markus
AU  - Weigand M
AD  - Anasthesiologische Klinik, Universitatsklinikum Heidelberg.
FAU - Schwenger, Vedat
AU  - Schwenger V
AD  - Klinik fur Nieren-, Hochdruck- und Autoimmunerkrankungen, Klinikum Stuttgart.
LA  - ger
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
TT  - Akutes Nierenversagen - Optimierungspotenziale zur Gewahrleistung einer
      verbesserten Versorgungsstruktur.
DEP - 20170407
PL  - Germany
TA  - Dtsch Med Wochenschr
JT  - Deutsche medizinische Wochenschrift (1946)
JID - 0006723
SB  - IM
MH  - Acute Kidney Injury/*economics/mortality/*therapy
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Health Care Costs/*statistics & numerical data
MH  - Humans
MH  - Middle Aged
MH  - Models, Economic
MH  - Prevalence
MH  - Quality Improvement
MH  - Renal Replacement Therapy/*economics/*mortality
MH  - Risk Factors
MH  - Survival Rate
MH  - Treatment Outcome
EDAT- 2017/04/08 06:00
MHDA- 2017/04/15 06:00
CRDT- 2017/04/08 06:00
AID - 10.1055/s-0042-120808 [doi]
PST - ppublish
SO  - Dtsch Med Wochenschr. 2017 Apr;142(7):534-540. doi: 10.1055/s-0042-120808. Epub
      2017 Apr 7.

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