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Screening for chronic kidney disease over hospital integration.

Kei NagaiTakahiro HosoiKentaro NakajimaTeiko AraiYoshiharu Nakamura
Published in: Journal of general and family medicine (2020)
Hospital integration among rural districts to concentrate medical resources is one of the main projects of the Japanese government. In advance of this, we experienced hospital integration and screening for chronic kidney disease as definitive risk for end-stage kidney disease and cardiovascular mortality. After that, high-risk patients have been appropriately referred from generalists to nephrologists and/or cardiologists without acute deterioration of renal function or cardiac sudden death.
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