The Division of Renal Medicine at UMMHC provides expertise in a broad range of areas including kidney failure, dialysis, transplantation, glomerular diseases, diabetic kidney disease, kidney stones, and high blood pressure and specialities in disorders of fluid and electrolyte metabolism. The Division's clinical activities are tightly coordinated with its research and medical education functions.
Outpatient services are available at multiple sites including the University hospital, several sites in the city of Worcester and a number of locations in the surrounding region including Shrewsbury, Marlborough, Milford and Webster. The Division provides specialty clinics directed specifically toward transplantation services, diagnosis and treatment of acute and chronic kidney disease and the long-term management of patients with renal disease and transplantation.
Inpatient services are provided at the University and Memorial campuses as well as consultative and dialysis services at several community-based acute care and rehabilitation hospitals. Some 25-30 hospitalized patients are managed by the inpatient consultative services on the University campus attending to complex and acutely ill patients with the provision of compassionate and state-of-the art care. The Renal Medicine Division also provides medical directorship at four busy satellite dialysis units distributed in the greater Worcester region currently providing care to more than 400 patients receiving hemodialysis or peritoneal dialysis services. The division plays an active role in the evaluation and selection of patients for transplant services (kidney and pancreas), their immunosuppressive management and their long-term management in conjunction with the Department of Surgery. Approximately 100 abdominal organ transplants take place annually and more than 800 transplants have been performed to date with excellent patient and graft survival.
Specific Diagnostic and Treatment Modalities include:
Acute dialysis, Continuous Hemofiltration (CVVH), Extracorporial Hemofiltration for drug and chemical intoxication
Kidney biopsy with specialized microscopic, immunohistochemical and molecular analysis
Investigation of new medications and strategies to slow or curtail progressive kidney disease
Immunosuppressive regimens for transplant recipients and patients with immunological renal disease to control disease and minimize toxicity