60/20 program • Screening for renal disease in individuals • Age 40-65 • With Diabetes Hypertension Cardiovascular disease Obesity Family history of ESRD
60/20 program
eGFR <60 Implementation of renal and cardiovascular protection Cooperation between General practitioner Internist nephrologist dependent on eGFR, albuminuria progression
eGFR < 20 ml/min • The patient is referred to and further treated and managed by a nephrology unit Education and information on RRT Shared decision making Informed consent (standardised form) Preparation for RRT Investigations for transplantation (living donation)
standardised information and written consent form for Austria Haemodialysis Peritoneal dialysis Conservative management (Transplantation) Allready used by 36 Centres
60/20 Implementation Plan • 9 provinces with their own „Landeszielsteuerungskommission“ • Start in Styria 2015(Rosenkranz) (niere.schützen) • Vorarlberg (Lhotta), Carinthia (Rosenkranz) • To include renal parameters in free health examinations (for risk groups only) • Supported by PERI Group (consulting, human relations, marketing)
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