“The Truth Is That It All Starts On The Inside, And That’s Where Our Focus Needs To Be”
Nephrology is a specialty of medicine and pediatrics that concerns itself with the kidneys. At YHPL, we have better nursing quality, patient safety, and other measures of performance that can be assessed using hard data and Chronic Kidney Disease and Dialysis patients’ experiences. Our dialysis centre is acute and chronic hemodialysis unit treating adult and paedriatic patient as well as some outpatients too. It is equipped with newest instruments and technology. Our high skilled dialysis team strives to provide its patients with the highest quality of service. Doctors make great efforts to partner with each patient to ensure the best possible care in the dialysis unit. The department of Nephtology takes care of wide range of disorders associated kidney like ARF, CRF, DKD, CKD, NS & RVH. The leading role in the movement now is to develop clinical practice guidelines for kidney disease. During the twenty years since then, we have witnessed a revolution in our approach to kidney disease. We now use definitions and classification systems that are based on objective findings; we have improved outcomes in patients treated by dialysis; our estimate of the burden of earlier stages of disease is based on more robust epidemiology; we now recognize CKD and ARF as a global public health problem and a risk factor for diseases; and we have made great strides in public awareness. There is much, much more to do to improve outcomes, but we are now on solid footing. Our guidelines in many ways have allowed clinical research in chronic kidney disease to occur. Before the 2002 CKD Guideline, people were not even necessarily talking about the same thing when discussing kidney disease. The guideline allowed for the paradigm that we take for granted today – kidney disease is common and harmful, even at only moderately reduced glomerular filtration rates – and motivated detailed exploration into the harms associated with CKD including the high prevalence and incidence of cardiovascular disease, the management that people with CKD receive, and the gaps in knowledge that needed to be and, in many cases, still need to be filled. Our guidelines and the subsequent commentaries are one of the major factors that helped to clarify and unify the definition of CKD as well as provide a basis for the development of algorithms for our nephrology practice as CKD clinic. This has, over the years, had a major impact on improving the quality of care and the health of our CKD patients in our practice. YHPL works for the forethought and assistance in putting together these guidelines. We reflect on how impactful the classification of chronic kidney disease has been on our practice and on improving the care of those with kidney disease.