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Research Needs
Pages 328-334

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From page 328...
... It highlighted the need for patient, professional, and public education about opportunities for prevention, early detection, and rehabilitation, themes reiterated throughout this report. The N~UDAB made numerous recommendations regarding basic research, clinical research, and clinical trials, as well as epidemiology.
From page 329...
... In particular, the discussion among clinicians of unresolved issues regarding the adequacy of dialysis, the effective delivery of the dialysis prescription, the effects of short treatment time on patient outcomes, and the relationship of nutrition to outcomes highlights the need for sustained clinical research. Second, without clinical studies, the reservoir of scientific ideas necessary to stimulate innovation in treatment technology is not replenished.
From page 330...
... Epidemiology needs to become a more integral part of kidney disease research, as it has been in heart disease, cancer, and aging research. In particular, there is a need to identify and measure with greater specificity the major risk factors causing chronic kidney failure, for prevention as well as patient management purposes.
From page 331...
... Health services research, which deals with the organization, financing, and delivery of health care, has laid the foundation for linking clinical and expenditure data, nurtured the development of functional- and health-status assessment, promoted the concern for outcomes and effectiveness research and quality assessment, and been responsible for advances in measurement, methodology, and data-base development. Kidney disease research should embrace health services research as an integral part of a larger research strategy.


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