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Urban disadvantage and delayed nephrology referral in Australia

Cass, Alan, Cunningham, Joan, Snelling, Paul L., Wang, Zhiqiang and Hoy, Wendy (2003). Urban disadvantage and delayed nephrology referral in Australia. Health & 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
Journal Name Health & 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 Amsterdam
Publisher Elsevier
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
review
nephrology
DOI http://dx.doi.org/10.1016/S1353-8292(02)00037-0   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
Additional Notes 2038 (Journal)
 
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Created: Mon, 17 Dec 2007, 09:02:11 CST