HISTORY AND MODERN MODEL Of NEPHROLOGY SERVICE IN MULTIPROfILE HOSPITAL

Abstract

The purpose of the study was to present the stages of effective nephrological service forming and to evaluate the output results of the Regional Nephrological Center (RNC) as the unit of multidisciplinary hospital. Results and discussion. The nephrology service of State Novosibirsk Regional Clinical Hospital began to form in 1978 with the opening of nephrology hemodialysis and kidney transplantation departments. The RNC was established in 1993 on the base of a territorial register for patients with chronic renal failure. Currently, the RNC includes the department of nephrology, the register for patients with chronic kidney disease (CKD) of 3–5 stages, nephrological counseling office, offices for potential recipients of renal transplantation and for patients with transplanted kidney, the office of permanent outpatient peritoneal dialysis. As a result, the prevalence and structure of CKD 3–5 stages in the Novosibirsk region are comparable to those in Europe, the availability of the renal replacement therapy, including the number of patients with a functioning renal transplant exceeds the nationwide indicators. Conclusion. The model of the nephrological service of a multidisciplinary hospital provides accounting and dispensation of patients with CKD, increases the effectiveness of treatment, including methods of renal replacement therapy.

Keywords

• nephrology service, nephrology center
• multidisciplinary hospital
• chronic kidney disease
• register of patients with chronic renal failure
• renal replacement therapy
• hemodialysis
• peritoneal dialysis
• kidney allograft