{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T19:37:22Z","timestamp":1766518642827,"version":"3.46.0"},"reference-count":13,"publisher":"BMJ","issue":"6424","license":[{"start":{"date-parts":[[1984,4,14]],"date-time":"1984-04-14T00:00:00Z","timestamp":450748800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br Med J (Clin Res Ed)"],"published-print":{"date-parts":[[1984,4,14]]},"abstract":"<jats:p>In order to understand why the United Kingdom ranks low in the treatment of end stage renal failure a questionnaire investigating knowledge of current acceptance practice for dialysis and transplantation was sent to various groups of doctors throughout the country. The questionnaire comprised 16 case histories of patients with established end stage renal failure and associated social and medical problems. In each case the responding doctor was asked to indicate whether the patient would be suitable for treatment by dialysis or transplantation or both. The questionnaire was sent to a randomly selected sample of general practitioners and non-renal consultant physicians and their responses compared with those of all the nephrologists identified in the United Kingdom. The mean number of cases rejected by both general practitioners and non-renal consultant physicians was significantly higher than the number rejected by nephrologists. The findings suggest that underreferral of patients to dialysis and transplant units contributes to the current low acceptance rate of new patients into treatment programmes in the United Kingdom.<\/jats:p>","DOI":"10.1136\/bmj.288.6424.1119","type":"journal-article","created":{"date-parts":[[2009,4,2]],"date-time":"2009-04-02T11:00:59Z","timestamp":1238670059000},"page":"1119-1122","source":"Crossref","is-referenced-by-count":81,"title":["Negative selection of patients for dialysis and transplantation in the United Kingdom."],"prefix":"10.1136","volume":"288","author":[{"given":"S","family":"Challah","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A J","family":"Wing","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Bauer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R W","family":"Morris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S A","family":"Schroeder","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1984,4,14]]},"reference":[{"key":"ref_1","first-page":"3","article-title":"Combined report on regular dialysis and transplantation","volume-title":"Europe, XII, 1981. Proc Eur Dial Transplant Assoc","volume":"19","author":"Kramer, P.; Brynger, H.; Brunner, F.P.","year":"1982","unstructured":"Kramer P, Brynger H, Brunner FP, et al. Combined report on regular dialysis and transplantation in Europe, XII, 1981. Proc Eur Dial Transplant Assoc 1982;19:3."},{"key":"ref_2","first-page":"307","article-title":"Chronic renal failure in N Ireland 1968-1970. A prospective study","volume":"i:","author":"McGeown, M.G.","year":"1972","unstructured":"McGeown MG. Chronic renal failure in N Ireland 1968-1970. A prospective study. Lancet 1972;i:307-10.","journal-title":"Lancet"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1016\/S0140-6736(72)90304-2","article-title":"Survey of chronic renal failure in Scotland","volume":"i:","author":"Pendreigh, D.M.; Heasman, M.A.; Howitt, L.F.","year":"1972","unstructured":"Pendreigh DM, Heasman MA, Howitt LF, et al. Survey of chronic renal failure in Scotland. Lancet 1972;i:304-7.","journal-title":"Lancet"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"829","DOI":"10.2105\/AJPH.72.8.829","article-title":"Characteristics of patients referred for treatment of end stage renal disease in a defined population","volume":"72","author":"RA, I.Hiatt; GD, Friedman","year":"1982","unstructured":"I Hiatt RA, Friedman GD. Characteristics of patients referred for treatment of end stage renal disease in a defined population. Ami Y Public Health 1982;72:829-33.","journal-title":"Ami Y Public Health"},{"key":"ref_5","first-page":"33","article-title":"Treatment of end stage renal failure in the United Kingdom: EDTA registry analyses. In: UK Transplant Service reviewu","volume":"1982","author":"Wing, A.J.; Broyer, M.; Brunner, F.P.","unstructured":"Wing AJ, Broyer M, Brunner FP, et al. Treatment of end stage renal failure in the United Kingdom: EDTA registry analyses. In: UK Transplant Service reviewu. Southmead, Bristol: UK Transplant Service, 1982:33.","journal-title":"Transplant Service"},{"key":"ref_6","first-page":"249","article-title":"Incidence of uraemia and requirements for maintenance haemodialysis","volume":"i:","author":"Branch, R.A.; Clark, G.W.; Cochrane, A.L.","year":"1971","unstructured":"Branch RA, Clark GW, Cochrane AL, et al. Incidence of uraemia and requirements for maintenance haemodialysis. Br Med.7 1971;i:249-54."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1276","DOI":"10.1056\/NEJM198205273062106","article-title":"Racial differences in the incidence of treatment for end stage renal disease","volume":"306","author":"Rostand, S.G.; Kirk, K.; Rutsky, E.; Pate, B.A.","year":"1982","unstructured":"Rostand SG, Kirk K, Rutsky E, Pate BA. Racial differences in the incidence of treatment for end stage renal disease. N EnglJ Med 1982;306: 1276-9.","journal-title":"N EnglJ Med"},{"key":"ref_8","article-title":"Parliamentary written reply. House of Commons Official Report","author":"N, N.Edwards","year":"1983","unstructured":"N Edwards N. Parliamentary written reply. House of Commons Official Report (Hansard) 1983 Dec 5;50:col 22 (No 63).","journal-title":"(Hansard); 5; 50: col 22 (No 63"},{"key":"ref_9","first-page":"12","article-title":"The first five thousand diabetics treated by dialysis and transplantation in Europe","volume":"2","author":"Jacobs, C.; Brunner, F.P.; Brynger, H.","year":"1983","unstructured":"Jacobs C, Brunner FP, Brynger H, et al. The first five thousand diabetics treated by dialysis and transplantation in Europe. Diabetic Nephropathy 1983;2:12-6.","journal-title":"Diabetic Nephropathy"},{"key":"ref_10","article-title":"The epidemiology of genito-urinary disease","volume-title":"Textbook of ptublic health","author":"Challah, S.; Wing, A.J.","unstructured":"Challah S, Wing AJ. The epidemiology of genito-urinary disease. In: Holland WWH, Detels R, eds. Textbook of ptublic health. Oxford: Oxford University Press. (In press.)"},{"article-title":"Accepted","year":"1984","key":"ref_11","unstructured":"(Accepted 8 February 1984)"},{"article-title":"It conduces to preservation from ill air, and pestilential fevers: it opens obstructions of the liver, and helps such as they say are livergrown; it eases pains in the stomach, helps digestion, and eases such as have pains in their bones by ill lodging abroad in the cold, it provokes appetite, and is exceeding good for the yellow jaundice, as also for prickings or stitches in the sides: it provokes the menses, and expels both birth and placenta: it is naught for pregnant women. If there be no fever, you may take a spoonful by itself; if there be, you may, if you please, mix it with some cooler medicine appropriated to the same use you would give it for","year":"1850","key":"ref_12","unstructured":"It conduces to preservation from ill air, and pestilential fevers: it opens obstructions of the liver, and helps such as they say are livergrown; it eases pains in the stomach, helps digestion, and eases such as have pains in their bones by ill lodging abroad in the cold, it provokes appetite, and is exceeding good for the yellow jaundice, as also for prickings or stitches in the sides: it provokes the menses, and expels both birth and placenta: it is naught for pregnant women. If there be no fever, you may take a spoonful by itself; if there be, you may, if you please, mix it with some cooler medicine appropriated to the same use you would give it for. (Nicholas Culpeper (1616-54) Thte Com7plete Herbal, 1850.)"},{"key":"ref_13","article-title":"BDELLIUM heats and mollifies, and that very temperately, being mixed with any convenient ointment or plaister, it helps kernels in the neck and throat, SCROPHULA, or that disease which was called the King's Evil. Inwardly taken in any convenient medicine, it provokes the menses, and breaks the stone, it helps coughs and bitings of venomous beasts: it helps windiness of the spleen, and pains in the sides thence coming. Both outwardly applied to the place and inwardly taken, it helps ruptures or such as are burst, it softens the hardness of the womb, dries up the moisture thereof and expels the dead child","volume-title":"The Complete Herbal","year":"1616","unstructured":"BDELLIUM heats and mollifies, and that very temperately, being mixed with any convenient ointment or plaister, it helps kernels in the neck and throat, SCROPHULA, or that disease which was called the King's Evil. Inwardly taken in any convenient medicine, it provokes the menses, and breaks the stone, it helps coughs and bitings of venomous beasts: it helps windiness of the spleen, and pains in the sides thence coming. Both outwardly applied to the place and inwardly taken, it helps ruptures or such as are burst, it softens the hardness of the womb, dries up the moisture thereof and expels the dead child. (Nicholas Culpeper (1616-54) The Complete Herbal, 1850.)"}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.288.6424.1119","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.288.6424.1119","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T20:42:15Z","timestamp":1765399335000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.288.6424.1119"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1984,4,14]]},"references-count":13,"journal-issue":{"issue":"6424","published-online":{"date-parts":[[1984,4,14]]},"published-print":{"date-parts":[[1984,4,14]]}},"alternative-id":["10.1136\/bmj.288.6424.1119"],"URL":"https:\/\/doi.org\/10.1136\/bmj.288.6424.1119","relation":{},"ISSN":["0007-1447","1468-5833"],"issn-type":[{"type":"print","value":"0007-1447"},{"type":"electronic","value":"1468-5833"}],"subject":[],"published":{"date-parts":[[1984,4,14]]}}}