Starting dialysis is dangerous: how do we balance the risk?

Abstract:

:Recent studies of timing of dialysis initiation have challenged the recent trend to earlier initiation of therapy. The observed outcomes though are a consequence of the balance between the risks of advanced uremia versus the inherent dangers relating to dialysis therapy itself. Many of these risks are inherent in how dialysis treatment is currently carried out, and may indeed be amenable to mitigation, through refinement of clinical practice (and potentially modality choice). This article aims to lay out a discussion relating to patient outcomes being the composite result of this balance, pivoting on the vulnerability of a particular patient to these attendant risks.

journal_name

Kidney Int

journal_title

Kidney international

authors

McIntyre CW,Rosansky SJ

doi

10.1038/ki.2012.133

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

382-7

issue

4

eissn

0085-2538

issn

1523-1755

pii

S0085-2538(15)55560-9

journal_volume

82

pub_type

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