Skip to main content
Why multidisciplinary clinics should be the standard for treating chronic kidney disease
Pediatric Nephrology
  • Guido Filler, Schulich School of Medicine & Dentistry
  • Steven E. Lipshultz, University of Miami Leonard M. Miller School of Medicine
Document Type
Publication Date
URL with Digital Object Identifier

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. © IPNA 2012.

Citation Information
Guido Filler and Steven E. Lipshultz. "Why multidisciplinary clinics should be the standard for treating chronic kidney disease" Pediatric Nephrology Vol. 27 Iss. 10 (2012) p. 1831 - 1834
Available at: