Why multidisciplinary clinics should be the standard for treating chronic kidney disease

Guido Filler, Steven E. Lipshultz

Research output: Contribution to journalReview articlepeer-review

24 Scopus citations


In adults, strong evidence indicates that slowing progression of chronic kidney disease (CKD) requires an integrated, multidisciplinary approach. In children, however, this approach has not been studied. This editorial commentary to the study by Ajarmeh et al in this volume of Pediatric Nephrology highlights how a dedicated, multidisciplinary team of physicians, nurses, pharmacists, dieticians, social workders and clinic data managers slowed the progression of CKD in children to a remarkable degree. We discuss the strengths and limitations of the study and its cost implications, as well as the issue of determining the optional complement of physicians and allied health care professionals in such clinics. Our calculations indicate that the additional costs of such clinics would be recovered in one year, even if the progession of CKD were to be delayed by 1 year in only 2% of affected children. Here, we call on the international pediatric nephrology community to establihs guidelines for forming multidisciplinary clinics throughout the world.

Original languageEnglish (US)
Pages (from-to)1831-1834
Number of pages4
JournalPediatric Nephrology
Issue number10
StatePublished - Oct 2012


  • Anemia
  • Blood pressure
  • Children
  • Chronic kidney disease
  • Dialysis
  • Disease porgression
  • Growth and nutrition
  • Health care costs
  • Hospitalization

ASJC Scopus subject areas

  • Nephrology
  • Pediatrics, Perinatology, and Child Health


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