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Urban disadvantage and delayed nephrology referral in Australia

Cass, Alan, Cunningham, Joan, Snelling, Paul L., Wang, Zhiqiang and Hoy, Wendy E. (2003). Urban disadvantage and delayed nephrology referral in Australia. Health and Place,9(3):175-182.

Document type: Journal Article
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Title Urban disadvantage and delayed nephrology referral in Australia
Author Cass, Alan
Cunningham, Joan
Snelling, Paul L.
Wang, Zhiqiang
Hoy, Wendy E.
Journal Name Health and Place
Publication Date 2003
Volume Number 9
Issue Number 3
ISSN 1353-8292   (check CDU catalogue open catalogue search in new window)
Start Page 175
End Page 182
Total Pages 8
Place of Publication United Kingdom
Publisher Pergamon Press
Language English
Field of Research 1117 - Public Health and Health Services
HERDC Category C1 - Journal Article (DEST)
Abstract This paper explores the relationship between area level measures of social disadvantage and the late referral of patients with end-stage renal disease (ESRD) to a nephrologist. Patients who were referred late were those who needed to commence dialysis within 3 months of referral to a nephrologist. Late referral has been associated with increased morbidity and mortality. We studied 3334 patients who started ESRD treatment in Australian capital cities between 1 April 1995 and 31 December 1998. The proportion referred late varied between areas, was higher in areas of greater disadvantage and was significantly related to the age- and sex-standardised incidence of ESRD. This may indicate inequitable access to optimal pre-ESRD care.
Keywords Australia
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Created: Mon, 17 Dec 2007, 09:02:11 CST