Nefrologia

Beginning of Dialysis

We have recently seen a certain tendency to anticipate as much as possible the beginning of dialysis in patients with severe renal diseases, but is there an evidence justifying this tendency? In Australia and New Zealand a randomized trial has been performed, where 828 adults with chronic nephropathy have been assigned to dialysis according to the value of glomerular filtration, if it had decreased to 10-14 ml/min/m2 or 5-7 ml/min/m2. If the subjects randomized to the second group (late beginning) had presented symptoms justifying it, they would have been immediately sent to dialysis.
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 http://mn.medsurfnews.com/contents/en/6125/display/beginning...

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