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Nephrology

​The Division of Nephrology is a single-specialty, multi-physician academic group practice housed within the University Medicine Cluster. Nephrologists work closely with nephrology nurses, medical social workers, dietitians, renal counsellors, pharmacists, therapists, and coordinators in providing care for inpatients and outpatients. The division provides tertiary consultative services for Primary Care Providers and other specialties, and provides primary care for CKD G5 patients enrolled in our end-stage kidney disease programmes.

The division provides a continuum of care for patients with stage G1 to stage G5 Chronic Kidney Disease (CKD). The division evaluates and manages patients with hypertension, diabetic kidney disease, glomerulonephritis, acute kidney injury, and other kidney diseases. The division provides a full range of options for patients with stage G5 CKD who are suitable for maintenance kidney replacement therapy. Peritoneal dialysis (both continuous and nocturnal) and haemodialysis (including haemodiafiltration) are offered as standard of care. There is the option of home-based dialysis as well as dialysis in satellite outpatient ambulatory centre. Button-hole (blunt needle) cannulation service is offered to suitable patients. Patients with certain life-threatening conditions may, on occasion, receive dialysis care at our Inpatient Dialysis Centre or outpatient high-dependency dialysis facility at the Renal Centre. Patients are also evaluated for living and deceased donor kidney transplantation, followed by long-term care and management of their pre- and post-transplant course. High risk transplantation, such as cross-match positive and ABO-incompatible living donor transplants, are also routinely performed with good outcomes. Currently, the division sees and manages more than 2500 CKD G5 patients on dialysis or post-kidney transplantation. 
 
Inpatient critical care nephrology services such as acute haemodialysis and continuous renal replacement therapies are provided for critically-ill inpatients. A dedicated diagnostic and interventional nephrology programme provides patients with rapid access to ultrasound diagnostics, kidney biopsy, peritoneal dialysis catheter insertion, as well as tunnelled and non-tunnelled haemodialysis catheter insertion.