BACKGROUND: The onset of clinical @entity644 in @entity1 with @entity2316 usually marks the existence of irreversible and progressive @entity8 . Prevention of @entity177 ought to take place in earlier stages, mostly in the outpatient setting and in close collaboration with general practitioners (GPs). This study aims to evaluate the prevalence and the clinical stage of @entity2316 and to screen for progression factors in the regional community referred to the outpatient department of the nephrology unit of the Mons. DiMiccoli Hospital in Barletta; it is intended as the first phase of a collaborative project for the prevention of @entity2316 . METHODS: Our team asked for the collaboration of GPs within the geographic area referring to our outpatient department. This led to the institution of a working group aimed at interrelating primary with hospital care in the setting of nephrology. The clinical data of @entity6 @entity1 as well as their codified personal data were classified by GPs and subsequently processed by the nephrology team. The glomerular filtration rate was estimated by means of the abbreviated MDRD study equation. Finally, the cumulative prevalence of known risk factors for @entity2316 progression was assessed in a subgroup of 201 @entity6 @entity1 . RESULTS: Within the whole group of screened subjects from the regional community (21,314), the prevalence of @entity6 was 3.54%, and the rates of personal and clinical features did not show any substantial differences from the ones recorded in Italy as a whole. In the subgroup of 201 @entity6 @entity1 , the cumulative frequency of progression factors for @entity2316 showed a relevant percentage of subjects with clinical and laboratory features deviating from the targets proposed by current guidelines, thus justifying the adoption of specific prevention plans. CONCLUSIONS: This study shows the feasibility and the advantages of setting up a stable collaboration between hospital and primary care in order to improve the diagnosis and prevention of @entity8 . Identification of the most frequently deviant progression factors provides the primary target for the prevention of @entity8 in @entity6 @entity1 .

[Hospital-primary care teamwork in nephrology: 'preventive' epidemiology of XXXX ].

@entity1 :: ('9606', 'Species') :: ['patients'] @entity644 :: ('MESH:D011507', 'Disease') :: ['proteinuria'] @entity8 :: ('MESH:D007674', 'Disease') :: ['kidney damage', 'kidney disease'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetic', 'diabetes'] @entity2316 :: ('MESH:D003928', 'Disease') :: ['diabetic nephropathy'] @entity177 :: ('MESH:D051437', 'Disease') :: ['chronic renal failure']
@entity2316 :: (MESH:D003928,Disease) :: ['diabetic nephropathy']
