Mater Specialist Quick Find

Nephrology – public patients 

Purpose

This page contains information for general practitioners on how to refer patients aged 16 years and over Nephrology services to Mater Hospital Brisbane.

Service

The Mater Nephrology service comprises of nephrologists and a dedicated Clinical Nurse Consultant with access to allied health specialists to provide a comprehensive, individualised approach to patient care. Weekly multidisciplinary team meetings are held to discuss complex cases and develop individualised care plans. 

In addition to inpatient beds and outpatient clinics the Nephrology service also offers in centre and satellite haemodialysis services at the Brisbane Dialysis Clinic (South Brisbane) and Brookwater Dialysis Clinic (Brookwater).  Please note that the Nephrology service does not accept patients requiring peritoneal dialysis or home dialysis

Specialised young adult options are also available for patients aged 16-25 years old who have undergone transplants in paediatric health services, through the Mater Young Adult Health Centre Brisbane (MYAHCB) . This clinic offers a number of clinical services and programs that have been specifically developed with young people in mind.

The Mater Nephrology service is also an academic unit involved in clinical research and teaching of medical students from the University of Queensland. 

How to Refer

If referral for care is indicated please list all of the General Referral Information and reason for request, and essential information as indicated below.

To refer, please fill in the Mater Adult Referral Form, available to download and embed into most major Practice Management software applications.

Referrals can be sent by:

Secure messaging  Medical Objects:   HM4101000R8
  HealthLink EDI:    materref   
Fax    07 3163 8548

 

 

 

 

Emergency

If any of the following are present or suspected, phone 000 to arrange immediate transfer to the emergency department or seek emergency medical advice if in a remote region:

 

View list of conditions:

  • Rapidly declining eGFR
  • Signs of acute nephritis which includes some or all of oliguria, haematuria, acute hypertension, oedema
  • Hyperkalaemia with potassium >6
  • Haemodialysis access problem
  • Hypertensive emergency 

 

Scope of Service

Conditions out of scope

The following conditions are not routinely managed at Mater Hospital Brisbane:

View list of conditions:

  • Peritoneal Dialysis
  • Home Dialysis
  • Chronic Kidney disease with
  • Stable eGFR > 30ml/min/1.73m2
  • Urine ACR < 30mg/mmol (with no haematuria)
  • Controlled blood pressure
  • Clear cause of CKD

 

Conditions in scope

Acute Kidney Injury

For this referral to progress we require

Essential information

  • General Referral Information
  • FBC / ELFT
  • MSU m/c/s
  • Urinalysis including albumin:creatinine ratio (ACR) and protein:creatinine ratio (PCR)
  • Renal Ultrasound

Additional referral information (useful for processing the referral)

  • No additional information

Other useful information for management (not an exhaustive list)

  • Please contact Mater Nephrology Service on 3163 8111 and ask for on-call consultant to talk through condition and appropriate referral pathway (Emergency Department or Outpatient Clinic) 

Categorisation

Available appointments are provided to our patients based on clinical priority. A process of categorisation ensures safety and equity of access.

Category 1 – urgent

Clinically recommended timeframe for initial appointment is 30 days

Category 2 - Priority

Clinically recommended timeframe for initial appointment is 90 days

Category 3 - Routine

Clinically recommended timeframe for initial appointment is 365 days

Refer directly to Emergency / seek Nephrology Advice

  • Acute Kidney Injury 

 

No category 2 criteria

No category 3 criteria

 

Cystic Kidney Lesions (Benign)

For this referral to progress we require

Essential information

  • General referral information
  • FBC / ELFT
  • MSU m/c/s
  • Urinalysis including albumin:creatinine ratio (ACR) and protein:creatinine ratio (PCR)
  • Renal Ultrasound

Additional referral information (useful for processing the referral

  • Urine cytology
  • Tc99m-MAG3 renography
  • USS and/or CT IVP
  • Consider Tc99m-MAG3 renography if PUJ obstruction suspected

Other useful information for management (not an exhaustive list)

Categorisation

Available appointments are provided to our patients based on clinical priority. A process of categorisation ensures safety and equity of access.

Category 1 – urgent

Clinically recommended timeframe for initial appointment is 30 days

Category 2 - Priority

Clinically recommended timeframe for initial appointment is 90 days

Category 3 - Routine

Clinically recommended timeframe for initial appointment is 365 days

Imaging showing any of the following:

  • solid renal mass > 4 cm
  • mucosal/collecting system lesion

complex cystic lesion > 4cm in size

 

 

 

Imaging showing any of the following:

  • solid or complex cystic renal mass <4 cm without evidence of metastatic disease
  • angiomyolipoma > 4cm
  • angiomyolipoma < 4cm in a woman of child bearing age
  • PUJ obstruction

large symptomatic simple renal cyst

Imaging showing angiomyolipoma < 4cm

 

 


Chronic Kidney Disease

For this referral to progress we require

Essential information

  • General Referral Information
  • FBC / ELFT
  • MSU m/c/s
  • Urinalysis including albumin:creatinine ratio (ACR) and protein:creatinine ratio (PCR)
  • Renal Ultrasound

Additional referral information (useful for processing the referral)

  • Blood pressure 

Other useful information for management (not an exhaustive list)

  • No additional information

Categorisation

Available appointments are provided to our patients based on clinical priority. A process of categorisation ensures safety and equity of access.

Category 1 – urgent

Clinically recommended timeframe for initial appointment is 30 days

Category 2 - Priority

Clinically recommended timeframe for initial appointment is 90 days

Category 3 - Routine

Clinically recommended timeframe for initial appointment is 365 days

CKD with Kidney Function Stage 4 or 5 

 

CKD with Kidney Function Stage 4

CKD with Kidney Function Stage 3b with significant proteinuria

CKD and poorly controlled hypertension

Sustained decrease in eGFR of 25% or more OR a sustained decrease in eGFR of 15ml/min/1.73m2 within 12 months

CKD with Kidney Function Stage 3a, 2 or 1

 

Congenital / Hereditary Conditions

For this referral to progress we require

Essential information 

  • General Referral Information
  • FBC / ELFT  
  • MSU m/c/s
  • Urinalysis including albumin:creatinine ratio (ACR) and protein:creatinine ratio (PCR)
  • Renal Ultrasound

Additional referral information (useful for processing the referral)

  • No additional information

Other useful information for management (not an exhaustive list)

  • No additional information

Categorisation

Available appointments are provided to our patients based on clinical priority. A process of categorisation ensures safety and equity of access.

Category 1 – urgent

Clinically recommended timeframe for initial appointment is 30 days

Category 2 - Priority

Clinically recommended timeframe for initial appointment is 90 days

Category 3 - Routine

Clinically recommended timeframe for initial appointment is 365 days

Category is applied based on condition and severity of symptoms

Category is applied based on condition and severity of symptoms

Category is applied based on condition and severity of symptoms

 

Glomerulonephritis

For this referral to progress we require

Essential information 

  • General Referral Information
  • FBC / ELFT
  • MSU m/c/s
  • Urinalysis including albumin:creatinine ratio (ACR) and protein:creatinine ratio (PCR)
  • Renal Ultrasound

Additional referral information (useful for processing the referral)

  • No additional information

Other useful information for management (not an exhaustive list)

  • No additional information         

Categorisation

Available appointments are provided to our patients based on clinical priority. A process of categorisation ensures safety and equity of access.

Category 1 – urgent

Clinically recommended timeframe for initial appointment is 30 days

Category 2 - Priority

Clinically recommended timeframe for initial appointment is 90 days

Category 3 - Routine

Clinically recommended timeframe for initial appointment is 365 days

Glomerulonephritis

No category 2 critieria      

No category 3 criteria

 

Haemodialysis

For this referral to progress we require

Essential information 

Additional referral information (useful for processing the referral)

  • Height, Weight and BMI
  • Social supports
  • Vascular Access Scan
  • Latest clinic outpatient letter
  • Dialysis Prescription if available 
  • History of multi-resistant organism (MRSA, VRE, ESBL)

Other useful information for management (not an exhaustive list)

  • No additional information

Categorisation

Available appointments are provided to our patients based on clinical priority. A process of categorisation ensures safety and equity of access.

Category 1 – urgent

Clinically recommended timeframe for initial appointment is 30 days

Category 2 - Priority

Clinically recommended timeframe for initial appointment is 90 days

Category 3 - Routine

Clinically recommended timeframe for initial appointment is 365 days

Patient requiring haemodialysis

 

Patient currently recieving haemodialysis at another facility and requiring transfer

Patient currently recieving haemodialysis at another facility and requiring transfer 

 

Hypertension

For this referral to progress we require

Essential information 

  • General Referral Information
  • FBC / ELFT
  • MSU m/c/s
  • Urinalysis including albumin:creatinine ratio (ACR) and protein:creatinine ratio (PCR)
  • Renal Ultrasound

Additional referral information (useful for processing the referral)

  • Blood pressure

Other useful information for management (not an exhaustive list)

  • No additional information 

Categorisation

Available appointments are provided to our patients based on clinical priority. A process of categorisation ensures safety and equity of access.

Category 1 – urgent

Clinically recommended timeframe for initial appointment is 30 days

Category 2 - Priority

Clinically recommended timeframe for initial appointment is 90 days

Category 3 - Routine

Clinically recommended timeframe for initial appointment is 365 days

Category is applied based on pathology results and severity of symptoms

 

Category is applied based on pathology results and severity of symptoms

Category is applied based on pathology results and severity of symptoms

 

Proteinuria

For this referral to progress we require

Essential information 

  • General Referral Information
  • FBC / ELFT
  • MSU m/c/s
  • Urinalysis including albumin:creatinine ratio (ACR) and protein:creatinine ratio (PCR)
  • Renal Ultrasound

Additional referral information (useful for processing the referral)

  • No additional information

Other useful information for management (not an exhaustive list)

  • No additional information

Categorisation

Available appointments are provided to our patients based on clinical priority. A process of categorisation ensures safety and equity of access.

Category 1 – urgent

Clinically recommended timeframe for initial appointment is 30 days

Category 2 - Priority

Clinically recommended timeframe for initial appointment is 90 days

Category 3 - Routine

Clinically recommended timeframe for initial appointment is 365 days

Nephrotic proteinuria 

Persistent significant albuminuria 

 

No category 2 criteria

No category 3 criteria 

 

Renal Tract Calculi

For this referral to progress we require

Essential information 

  • General referral information
  • FBC / ELFT
  • MSU m/c/s
  • Urinalysis including albumin:creatinine ratio (ACR) and protein:creatinine ratio (PCR)
  • Renal Ultrasound

Additional referral information (useful for processing the referral)

  • If patient has passed previous stone and this has been examined, include details of calculi
  • XR KUB
  • Non contrast CT KUB
  • Serum calcium and urate results

Other useful information for management (not an exhaustive list)

  • Symptomatic patients should be referred to the Mater Urology Service
  • Medical management
  • Analgesia:
  • NSAIDs
  • Consider an alpha blocker e.g.Tamsulosin 400 micrograms
  • MSU
  • ELFT FBC, serum calcium and urate
  • Non contrast CT KUB and XR KUB
  • Stone prevention advice

Categorisation

Available appointments are provided to our patients based on clinical priority. A process of categorisation ensures safety and equity of access.

Category 1 – urgent

Clinically recommended timeframe for initial appointment is 30 days

Category 2 - Priority

Clinically recommended timeframe for initial appointment is 90 days

Category 3 - Routine

Clinically recommended timeframe for initial appointment is 365 days

No category 1 criteria

Proven calculi in kidney and any of the following:

  • resolved symptoms
  • recurrent symptoms
  • All staghorn stones

No category 3 criteria


 

Renal Transplant

For this referral to progress we require

Essential information 

Additional referral information (useful for processing the referral)

  • Renal Ultrasound
  • Documentation from previous treating facility

Other useful information for management (not an exhaustive list)

  • Concerns regarding transplant rejection should be considered a medical emergency and the patient should seek urgent medical assistance  

Categorisation

Available appointments are provided to our patients based on clinical priority. A process of categorisation ensures safety and equity of access.

Category 1 – urgent

Clinically recommended timeframe for initial appointment is 30 days

Category 2 - Priority

Clinically recommended timeframe for initial appointment is 90 days

Category 3 - Routine

Clinically recommended timeframe for initial appointment is 365 days

Acute / complex recent transplant 

No category 2 criteria

Stable post-transplant patients requiring ongoing specialist review

 

Young Adult Transitional Care

For this referral to progress we require

Essential information 

  • General Referral Information
  • FBC / ELFT
  • MSU m/c/s
  • Urinalysis including albumin:creatinine ratio (ACR) and protein:creatinine ratio (PCR)
  • Renal Ultrasound 

Additional referral information (useful for processing the referral)

  • Documentation from previous treating facility
  • Social situation / supports 

Other useful information for management (not an exhaustive list)

  • No additional information 

Categorisation

Available appointments are provided to our patients based on clinical priority. A process of categorisation ensures safety and equity of access.

Category 1 – urgent

Clinically recommended timeframe for initial appointment is 30 days

Category 2 - Priority

Clinically recommended timeframe for initial appointment is 90 days

Category 3 - Routine

Clinically recommended timeframe for initial appointment is 365 days

Complex / unstable patients requiring transition to adult services 

 No Category 2 criteria

Stable patients requiring transition to adult services

 

 

Young Adult Transplant

For this referral to progress we require

Essential information

Additional referral information (useful for processing the referral)

  • Renal Tract Ultrasound
  • Documentation from previous treating facility
  • Social situation / supports

Other useful information for management (not an exhaustive list)

  • Concerns regarding transplant rejection should be considered a medical emergency and urgent nephrology assistance should be sought from the on-call nephrology registrar. 

Categorisation

Available appointments are provided to our patients based on clinical priority. A process of categorisation ensures safety and equity of access.

Category 1 – urgent

Clinically recommended timeframe for initial appointment is 30 days

Category 2 - Priority

Clinically recommended timeframe for initial appointment is 90 days

Category 3 - Routine

Clinically recommended timeframe for initial appointment is 365 days

Complex / unstable patients requiring transition to adult services

Stable patients requiring transition to adult services

No category 3 criteria

 

 


 

Other Nephrology Condition

Essential information (Referral will be declined without this)

Categorisation

Available appointments are provided to our patients based on clinical priority. A process of categorisation ensures safety and equity of access.

Category 1 – urgent

Clinically recommended timeframe for initial appointment is 30 days

Category 2 - Priority

Clinically recommended timeframe for initial appointment is 90 days

Category 3 - Routine

Clinically recommended timeframe for initial appointment is 365 days

 

 

Our Specialists 

Dr Michael Burke Director of Nephrology
Dr Richard Baer Renal Dialysis Physician 

 

Bulk Billed Clinics 

Mater Health offers patients the opportunity to attend bulk billed clinics. To provide your patient with the opportunity to attend a bulk billed clinic, please provide a named referral to one of the specialists listed above.

Contact Us 

If you would like to discuss a referral, including clinical criteria, or update the status of a current patient please contact our priority GP phone line on 07 3163 2200 

Current Waiting Time for Appointments

We provide up to date data on how long patients are waiting for their first appointment by specialty here.

Referral Guideline Development

These Mater Referral Guidelines have been developed locally by GPs and specialists to support safe and quality referral to publicly funded specialist outpatient services.

 

Content last reviewed: 15 February 2018

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