中文版

Geriatric Neurology

Overview

The Department of Geriatric Nephrology of Jiangsu Province Hospital consists of outpatient, ward, and blood purificationcenter. It was established in 2008 and has been developing rapidly in recent years, funded by the Priority Academic Program Development of Jiangsu Higher Education Institutions. There are 33 beds in the ward and 26 dialysis machines [including 6 continuous renal replacement therapy (CRRT) machines] in the blood purificationcenter.The department currently employs 37 professionals, among which, 60% doctors hold doctoral degrees while the other doctors hold master’sdegrees. Among the nursing team, three nurses holdmaster’s degrees, one is a geriatric specialist nurse, and fourare blood purification specialist nurses. 

The department has been dedicated to the diagnosis and treatment of elderly kidney diseases, especially chronic kidney disease (CKD) and acute kidney injury (AKI) in older patients, for nearly ten years. Two related researches were cited by the Clinical Practice Guidelinefocusing on the management of older patients with CKD stage 3b or higher (this is the first Guideline specific to the diagnosis and treatment of elderly CKD) drawn by European Renal Best Practice (ERBP). We have also been successfully providing maintenance hemodialysis for many elderly patients over 90years old, and among which, two 100-year-old patients were treated by maintenance hemodialysis in our department for more than two years.


Department Director

Dr. Zhao is the Chair of the Department of Geriatric Nephrology, Jiangsu Province Hospital, Nanjing, China. She is currently the Vice President of GeriatricNephrology of Chinese Medical Association, the Vice President of Jiangsu Branch of Nephrology of the Chinese Medical Association, and amember of the standing committee of Jiangsu Province Committee for blood purification.

Dr. Zhao is anevaluation expert of the National Natural Science Foundation, China Postdoctoral Science Foundation Expert Database, working as member of the editorial board ofChinese Journal of Multiple Organ Diseases in the Elderly, the Journal of Biomedical Research, Chinese Journal of Clinicians and China Medical Herald, as well as a peer-reviewer of Journal of Nephrology, Journal of Nephrology and Therapeutics, International Urology and Nephrology, Molecular Biology Reports Nephrology, Renal Failure, etc.

Dr. Zhao obtained her MD degree in 1988, and further received her Ph.D. degree from Nanjing Medical University in 2003. She was a Senior Visiting Scholar in the University of Florida College of Medicine and the College of Medicine of Indiana University - Purdue University, USA, from 2003 to 2006.

Dr. Zhao participated in the National Basic Research Program (973 Program) on  research in the prevention and treatment of visceral organ aging and related diseases among the elderly, and completed3National Natural Fund Projects, as well as 10 national and provincial scientific research projects. Dr. Zhao has published more than 130papers in national and international academic journals, including 52 SCI articles (31 papers as first or corresponding author).She is one of the editors of the first national electronicmedical textbook "Geriatrics", and accomplished 10 booksand monographs as vice editor or associated editor.

Dr. Zhao received a third prize of Chinese Medical Prize and 11 prizes including Technology Progress Award, the Health Department of Jiangsu ProvinceAward, the Introduction of New Technology Award, etc. Dr. Zhao has been named as the academicleader of the Jiangsu ProvincialKey Clinical Specialist - Nephrology in Colleges and Universities, and was identified as the key medical talent of Jiangsu Provincial 333 Project, Jiangsu Provincial Six Talent Peaks Project and Jiangsu ProvincialHealth Promotion Project.

Dr. Zhao has nearly 30 years of experience in Nephrology, and especiallyspecializes in the diagnosis, evaluation, and treatment of elderly kidney disease. Dr. Zhao is an expert in hemodialysis, blood perfusion, plasma exchange, coupled plasma filtration adsorption(CPFA) and other blood purification techniques.

Time Visits: Monday morning and Wednesday morning


1)The Diagnosis and Treatment of Geriatric CKD:

Our department has set up a geriatric CKD clinic to accurately diagnose elderly CKD.  We have establishedan integrated treatment scheme for CKD in the elderlyaccording to the characteristics of coexistence of multiple chronic conditions and multiple drug use.

2)The Development of a Variety of Blood Purification Techniques:

Our department routinely carries out hemodialysis, hemodiafiltration, hemoperfusion, single/double filtration plasmapheresis, CPFA, CRRT, especiallyCRRT without heparin or citrate anticoagulation, to provide effective treatment for the ESRD, AKI and MODS patients.

3)The Establishment of Dialysis Vascular Access in Elderly Patients:

We have been collaborating with vascular surgery and interventional radiology, applying artificial/auto vascular transplantation, vascular bypass, shrinkage, balloon dilatation and stent implantation, to solve the complicated vascular access problems in the elderly.

4) The Treatment of SHPT by the Total Parathyroidectomy withForearm Autograft:

We have effectively treated theelderly uremic patients with severe secondary hyperparathyroidism (SHPT) by the total parathyroidectomy with forearm autograft.

5) Other SpecializedTechnologies:

We perform routine examinations of urinary system and vascular access by B-ultrasound in our department ward. The renal biopsy, infusionport implantation and dialysis catheter implantation havealso been performed under B-ultrasound guidance.In addition, we have undertakenperitoneal dialysis, colon dialysis and other specialized technologiesrelated to kidney diseases.


Medical Conditions Treated in OurDepartment Include:

  • Chronic kidney disease

  • Acute and chronic glomerulus nephritis

  • Nephrotic syndrome

  • IgA nephropathy

  • Renal amyloidosis

  • Interstitial nephritis

  • Hypertensive nephropathy

  • Ischemic renal disease

  • Diabetic nephropathy

  • Urinary tract infection

  • Small vasculitis

  • Acute kidney injury

  • MODS


Since 2008, our department has beensending staff to communicate abroad through personal and group exchanges. Our doctors have visited Massachusetts General Hospital (MGH), Mayo clinic, the University of Florida and so on. We also invited internationally renowned experts to our academic exchange and actively participated in the annualconference of the American Society of Nephrology (ASN) and the American Society of Gene Therapy (ASGT). We obtained New BioFlorida Postdoctoral Research Awarding from the Government of Florida.

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