Timely initiation of dialysis for chronic kidney disease: Perspective from four Asian countries
Journal
Nephrology
Journal Volume
15
Journal Issue
SUPPL. 2
Pages
61-65
Date Issued
2010
Author(s)
Abstract
Recommendations about when to initiate dialysis for end-stage kidney failure have been made by a number of expert groups. These recommendations have led to changes in clinical practice, yet they are not based on high level evidence. In fact, most reported studies argue that dialysis should be started early rather than late, many are confounded and a number have reached the opposite conclusion. Probably more important than a prescribed level of renal function at which dialysis is initiated is the widespread adoption of a structured approach to pre-dialysis care and the recognition of the importance of pre-dialysis patient education. One of the main determinants of optimal initiation of dialysis is the time of referral of the patient to a nephrologist or a renal unit. In particular, early referral of patients with chronic kidney disease allows a planned initiation of dialysis, using from the start permanent vascular or peritoneal dialysis access. ? 2010 Asian Pacific Society of Nephrology.
SDGs
Other Subjects
chronic kidney disease; clinical practice; conference paper; continuous ambulatory peritoneal dialysis; dialysis; glomerulus filtration rate; hemodialysis; hospitalization; human; kidney failure; kidney function; morbidity; mortality; outcome assessment; patient care; patient education; peritoneal dialysis; practice guideline; priority journal; quality of life; survival time; Asia; Kidney Failure, Chronic; practice guideline; prevalence; procedures; renal replacement therapy; time; Asia; Humans; Kidney Failure, Chronic; Outcome Assessment (Health Care); Practice Guidelines as Topic; Prevalence; Renal Dialysis; Time Factors; Asia; Humans; Kidney Failure, Chronic; Outcome Assessment (Health Care); Practice Guidelines as Topic; Prevalence; Renal Dialysis; Time Factors
Type
conference paper