Division of Nephrology at UHN

The Division of Nephrology at University Health Network (UHN) participates in the investigation and treatment of all types of renal disease, encompassing treatment of Chronic Kidney Disease with dialysis and transplantation, general nephrology, subspecialty clinics, teaching and research. Staff nephrologists are appointed at both the Toronto General and Toronto Western sites and at affiliated hospitals.

Home Dialysis (Peritoneal and Nocturnal Hemodialysis) is an area of specialty for the division and for UHN. The Division has played a pivotal role in the field of home dialysis since its early development, from innovations in peritoneal dialysis, to the recent emerging body of knowledge regarding clinical outcomes in nocturnal home dialysis. The Home Dialysis Centre serves approximately 240 prevalent end-stage renal disease patients (100 nocturnal hemodialysis and 120 peritoneal dialysis). In addition to high clinical activity, research is focused on translational biology, and clinical outcomes.

In-patient clinical services consist of the Nephrology Ward, Nephrology Consultation and the Multi-Organ Transplant Unit. Outpatient clinical services consist of Home Peritoneal Dialysis, Intermittent Peritoneal Dialysis, Outpatient Hemodialysis, Home Hemodialysis, Self-Care Hemodialysis, Rehabilitation and Complex Continuing Care Dialysis, Nocturnal Hemodialysis and outpatient clinics encompassing all aspects of nephrology care.

Patient care covers the full spectrum of renal disease, from diagnosis and pre-dialysis care, through to various dialysis modalities, including transplantation, intensive care management and, if required, renal palliative care. This is accomplished through a strong interdisciplinary team including physicians, nurses, managers, dietitians, social workers, renal and vascular access coordinators, physiotherapists, pharmacists and chaplains.

Active clinical research programs include home dialysis, geriatric nephrology, vascular access, diabetic kidney disease and kidney transplantation. The researchers who lead these programs are dedicated to finding better ways to prevent and treat kidney disease.