Exploration of the difference in incidence of renal replacement therapy in elderly patients in Flanders and The Netherlands--a comparison of referral policy

Background. The incidence of renal replacement therapy (RRT) among patients aged ≥65 years is much higher in Flanders, the Dutch speaking region of Belgium, than in The Netherlands. We studied whether differences in referral policy to nephrologists by primary care physicians (PCPs) and specialists between Flanders and The Netherlands may play a role. Methods. A vignette study was performed among 329 PCPs and 96 specialists in Flanders and compared to the vignette study that was conducted among 209 PCPs and 162 specialists in The Netherlands. Physicians were offered six vignette s concerning ca... Mehr ...