management of patients improved. Increased research opportu nities and better teaching were other advantages for such specialist centres, but these were offset by loss of continuity of patient care. For this latter reason and also because of a lack of specialist acute dialysis facilities it was decided to treat all cases of acute renal failure in the receiving district general hospital, which did not have a specialist renal unit. We compare results of such management with published results from specialist units.
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Wright et al. (1980) studied this question.
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