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Table 1 Characteristics of studies that identified patient and health system related factors in the reasons for late referral of patients with chronic kidney disease.

From: A systematic review of patient and health system characteristics associated with late referral in chronic kidney disease

Study

Year

Type of study

Setting/Country/Number of participants

Definition of Late referral (months prior to start of dialysis or stage of CKD)

Patient related factor

Health care related factor

Arora [23]

1999

Retrospective

Tertiary referral center/USA/135 dialysis patients

<4 months

 

Cass [22]

2003

Retrospective

Australian and New Zealand dialysis and transplantation registry/3334 patients

<3 months

 

Ifudu [28]

1999

Retrospective

Tertiary referral center/USA/220 dialysis patients

Creatinine > 4 mg/dl

 

Jungers [16]

1993

Retrospective

Single dialysis center/France/354 patients

<1 month

 

Khan [21]

1994

Retrospective

Renal infirmary/UK/304 CKD patients

NA

 

Kinchen [15]

2002

Prospective cohort

Dialysis centers/USA/828 dialysis patients

<4 months

Navaneethan (30)

2007

Retrospective

2 Dialysis units/USA/205 patients

<6 months

Obialo [29]

2005

Retrospective

Tertiary referral center/USA/460 patients

<3 months-Late referral <1 month-ultra late referral

 

Roderick [25]

2002

Retrospective

Tertiary referral center/UK/250 dialysis patients

< 4 months

 

Schmidt [17]

1998

Retrospective

3 Dialysis units/USA/238 patients

<1 month

 

Steel [27]

2002

Retrospective

Single dialysis center/UK/494 dialysis patients

< 3 months

 

Winkelmayer [26]

2001

Retrospective

New Jersey ESRD data/USA/3014 dialysis patients

< 3 months

Wauters [18]

2004

Prospective cohort

Multiple dialysis centers/Europe/279 dialysis patients

<6 months