| Autor: |
William F. Keane, J. Michael Lazarus, Philip J. Held, Joel D. Kopple, Brendan P. Teehan, Karren King, Tom F. Parker, Raymond M. Hakim |
| Rok vydání: |
1994 |
| Předmět: |
|
| Zdroj: |
American Journal of Kidney Diseases. 24:968-973 |
| ISSN: |
0272-6386 |
| DOI: |
10.1016/s0272-6386(12)81071-7 |
| Popis: |
R ECENT epidemiologic studies have provided alarming evidence that the mortality rates of maintenance dialysis patients in the United States are very high: the gross annual mortality rate is approximately 24%. Moreover, the mortality rate of US maintenance hemodialysis patients is almost twice the mortality rate of comparable patients receiving chronic dialysis therapy in Europe and approximately three times that of similar patients in Japan. Mortality rates appear to be similarly high in chronic peritoneal dialysis patients. Since approximately 170,000 individuals in the United States receive chronic hemodialysis or peritoneal dialysis, this represents a serious public health problem. The National Kidney Foundation, recognizing the gravity of this situation, appointed a committee to review the potential causes for the increased morbidity and mortality among US maintenance dialysis patients and to recommend potential solutions. The possible causes for the high morbidity and mortality are summarized in the following reviews. The Committee offers in this document a series of recommendations that it is hoped will lead to a reduction in the high |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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