Warning: Undefined variable $zfal in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Deprecated: str_replace(): Passing null to parameter #3 ($subject) of type array|string is deprecated in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 530
 free
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 531
 free
 free
 
English Wikipedia
Nephropedia Template TP (
Twit Text
DeepDyve
Pubget Overpricing |  
lüll
Nephrogenic systemic fibrosis: a survey of nephrologists perceptions and practices Abdel-Kader K; Patel PR; Kallen AJ; Sinkowitz-Cochran RL; Bolton WK; Unruh MLClin J Am Soc Nephrol 2010[Jun]; 5 (6): 964-71BACKGROUND AND OBJECTIVES: Nephrogenic systemic fibrosis (NSF) is a disorder that can affect patients with renal dysfunction exposed to a gadolinium-based contrast agent (GBCA). Given the unique role nephrologists play in caring for patients at risk to develop NSF, this study surveyed their perceptions and practices regarding NSF. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: An internet-based, cross-sectional survey of clinical nephrologists in the United States was performed. Perceptions and self-reported practices regarding NSF and local facility policies were assessed concerning GBCA use in renal dysfunction. RESULTS: Of the 2310 eligible nephrologists e-mailed to participate in the survey, 171 (7.4%) responded. Respondents spent 85% of their time in direct patient care and 83% worked in private practice; 59% had cared for a patient with NSF. Although over 90% were aware of the morbidity and mortality associated with NSF, 31% were unaware of an association with specific GBCA brand and 50% believed chronic kidney disease stage 3 patients were at risk to develop NSF. Changes in facility policies concerning GBCA use in renal dysfunction were widespread (>90%). Most nephrologists (56%) felt that enacted policies were appropriate, yet 58% were uncertain if the changes had benefited patients. CONCLUSIONS: These results indicate that nephrologists are generally familiar with the risk factors and consequences of NSF, but their perceptions do not always align with current evidence. Local policy changes in GBCA use are pervasive. Most nephrologists are comfortable with these policy changes but have mixed feelings regarding their effectiveness.|*Attitude of Health Personnel[MESH]|*Health Knowledge, Attitudes, Practice[MESH]|*Perception[MESH]|Clinical Competence/statistics & numerical data[MESH]|Contrast Media/adverse effects[MESH]|Cross-Sectional Studies[MESH]|Evidence-Based Medicine[MESH]|Gadolinium/adverse effects[MESH]|Guideline Adherence[MESH]|Health Care Surveys[MESH]|Humans[MESH]|Internet[MESH]|Logistic Models[MESH]|Nephrogenic Fibrosing Dermopathy/diagnosis/etiology/*therapy[MESH]|Nephrology/*statistics & numerical data[MESH]|Outcome and Process Assessment, Health Care/*statistics & numerical data[MESH]|Practice Guidelines as Topic[MESH]|Practice Patterns, Physicians'/*statistics & numerical data[MESH]|Risk Assessment[MESH]|Risk Factors[MESH]|Surveys and Questionnaires[MESH]|Treatment Outcome[MESH]|United States[MESH] |
