Censimento SIN 2008: il lavoro del nefrologo.

Translated title of the contribution: [SIN census 2008: the nephrologist's workload].

Giuseppe Quintaliani, Maurizio Postorino, Anteo Di Napoli, Aurelio Limido, Antonio Dal Canton, Alessandro Balducci, Bruno Contu, Mario Salomone, Maurizio Nordio, Jung Hee Levialdi Ghiron, Giusto Viglino, Francesco Pizzarelli, Rosanna Coppo

Research output: Contribution to journalArticlepeer-review

Abstract

This paper reports on a first analysis of data of the second survey promoted by the Italian Society of Nephrology (SIN), with particular regard to data referring to the nephrologist's workload. The survey was carried out through a Web-based questionnaire that participants could fill in online between March and December 2010. The data were validated against those of the Italian Dialysis and Transplant Registry (RIDT) and therefore refer to 31 December 2008, the date of the last RIDT report. Accurate completion of the questionnaires and reminders were monitored by the presidents of the regional sections of the SIN and the regional registries' chairpersons under the coordination of four area managers and a census committee. The response to the survey represented 42% of all nephrology centers, treating about 50% of all dialysis patients in Italy. The response percentage varied widely among regions (from 5% to 100% of the centers). After exclusion of the three regions with responses below 10%, it reached 68%, which was sufficient to give an idea of the state of nephrology in Italy. However, due to this wide variability, it was not possible to make an overall comparison of the regional situations, hence data for complex and simple structures were assessed separately. Despite the limits due to the incomplete participation in the survey, this article provides a clear description of the state of nephrology in Italy. The results confirm the hypothesis presented in the work of Bocconi Cergas, namely that the nephrology market is broader than nephrologists are able to control. The work of the nephrologist, which still seems to be focused mainly on dialysis in its various forms, should be directed more towards the development of methods for early detection of kidney disease and close follow-up. The ultimate aim is the early diagnosis of kidney disease and hence prevention of its complications, so that the focus no longer needs to be on ESKD treatment systems.

Translated title of the contribution[SIN census 2008: the nephrologist's workload].
Original languageItalian
Pages (from-to)633-641
Number of pages9
JournalGiornale italiano di nefrologia : organo ufficiale della Società italiana di nefrologia
Volume28
Issue number6
Publication statusPublished - Nov 2011

ASJC Scopus subject areas

  • Nephrology

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