When to Start Dialysis Treatment: Where Do We Stand?

Autor: Korevaar, Johanna C., van Manen, Jeannette G., Boeschoten, Elisabeth W., Dekker, Friedo W., Krediet, Raymond T., Apperloo, A.J., Barendregt, J.N.M., Birnie, R.J., Boekhout, M., Boer, W.H., Büller, H.R., de Charro, F.T., Doorenbos, C.J., Fagel, W.J., Franssen, C.F.M., Frenken, L.A.M., Geerlings, W., Gerlag, P.G.G., Gorgels, J.P.M.C., Grave, W., Huisman, R.M., Jager, K.J., Jie, K., Koning–Mulder, W.A.H., Koolen, M.I., Kremer Hovinga, T.K., Lavrijssen, A.T.J., Mulder, A.W., Parlevliet, K.J., Rosman, J.B., Schonk, M.J.M., Schuurmans, M.M.J., Stevens, P., Tijssen, J.G.P., Valentijn, R.M., van Bommel, E.F.H., van Dorp, W.T., van Es, A., van Geelen, J.A.C.A., van Saase, J.L.C.M., Vastenburg, G., Verburg, C.A., Verstappen, V.M.C., Vincent, H.H., Vos, P.
Zdroj: Peritoneal Dialysis International; February 2005, Vol. 25 Issue: Supplement 3 p69-72, 4p
Abstrakt: ♦ Background Since the publication of opinion-based guidelines regarding the timing of dialysis treatment, there has been a trend toward earlier initiation.♦ Objective In this review, the existing guidelines and the currently published studies that evaluate them are discussed.♦ Results These studies could not demonstrate a clear benefit on survival or quality of life for patients who started with relatively higher renal function.♦ Conclusion Early start of dialysis treatment should not be confused with early referral to the nephrologist. It is concluded that initiation of dialysis should not depend on a predefined magnitude of renal function, but should be tailored to the individual patient.
Databáze: Supplemental Index