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Master Thesis

Motifs de primo-consultations de néphrologie en 2014 dans le territoire de santé de Rennes

Abstract : Background: The coordinated healthcare circuit means that patients should be referred to specialists, for example nephrologists, by another physician. However, there is no recommendations concerning the reasons justifying the referral to a nephrologist. The main purpose of our study is to describe such reasons for first consultations in nephrology in the health area of Rennes. Methods: We retrospectively collected medical reports of first consultations by 17 Nephrologists in the 4 centers of the study area, during the year 2014. In these letters, we noted the consultation motif, the specialty of the physician who refers the patient, and main characteristics of patients. Results: We included 662 first consultations. The main reason for consultations was chronic kidney disease (68.7%) including chronic renal insufficiency (56.9%), proteinuria (7.3%), microscopic hematuria (3.3%) and searching for chronic kidney disease in the presence of risk factor (1.2%). Other frequent reasons were the follow-up consultation after a pregnancy complicated by preeclampsia (9.5%), urinary lithiasis (5.7%), hypertension (3.8%) and hydro-electrolytic disorder (3.5%). Non-nephrology reasons represent 3.2% of first consultations. Patients have been referred by a physician (99.7%), mainly a general practitioner (71.9%). Conclusion: Nephrology first consultations are realized according to the coordinated healthcare circuit since almost all are requested by another physician. The reasons are adapted to the specialty. The main reason is chronic kidney disease, including in particular renal insufficiency chronic.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01746547
Contributor : Santé Rennes 1 <>
Submitted on : Wednesday, June 6, 2018 - 2:28:16 PM
Last modification on : Thursday, July 9, 2020 - 12:30:44 PM

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Jeanne Prévot. Motifs de primo-consultations de néphrologie en 2014 dans le territoire de santé de Rennes. Sciences du Vivant [q-bio]. 2016. ⟨dumas-01746547⟩

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