What the non-nephrologist needs to know about dialysis.

Abstract:

:The End-Stage Renal Disease (ESRD) program now serves approximately 675,000 individuals in the United States at a cost of $26.1 billion to the Medicare system. Given the size of this population, healthcare providers from all disciplines will deliver care to patients on dialysis. Mortality remains high among patients on chronic dialysis, with 42.3% surviving 5 years. As this is a vulnerable population, it is important in the care of ESRD patients that non-nephrologists have a working knowledge of issues germane to dialysis. This review examines the physiology, mechanics, complications, and care delivery concerns of kidney dialysis modalities relevant to the non-nephrologist. The majority of patients receive in-center hemodialysis thrice weekly, with a small proportion on home-based therapies such as peritoneal dialysis or home hemodialysis. Inpatients may undergo hemodialysis or peritoneal dialysis, and in critically ill patients, continuous renal replacement therapies are utilized. Practical aspects of each of these modalities are discussed.

journal_name

Semin Dial

journal_title

Seminars in dialysis

authors

Foy M,Sperati CJ

doi

10.1111/sdi.12671

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

183-192

issue

2

eissn

0894-0959

issn

1525-139X

journal_volume

31

pub_type

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