December 17, 2014

The Impact of Timing of Dialysis Initiation on Mortality in Patients with Peritoneal Dialysis

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A Korean cohort of 495 incident PD patients were analyzed with respect to the impact of timing of dialysis initiation on mortality.  The authors found that an eGFR < 5 mL/min/1.73m(2) at the initiation of PD was a significant risk factor for death, while an eGFR >10 mL/min/1.73m(2) at the initiation of PD was not associated with improved survival compared with an eGFR of 5 – 10 mL/min/1.73m(2) at the initiation of PD.

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Chronic Kidney Disease, General Nephrology, Peritoneal Dialysis
  • Ivan Vucina

    I think, that starting Dialysis with GFR around 15 cc/min, and with <10cc/min,are dealing with quite different types of patients=in 15cc/min, it is known that are patients with severe problems=acidosis=uremic symptoms or overhydrated.Ussually thay lack A-V fistula.and start using Yugular venous central catheter.In late GFR(10 or less) are less compromised patients, and they don*t have the urgency of others.Finally=Staring Dyalisis, must not depend of GFR, but of Clinical Indicacions .. and in 2 place of GFR./Lab Tests.There are too,another number that I find important=mortality is very high during firts year(30%)Why?

  • tammy

    the kidneys have various parts to it’s organ how and why does the function faulter and where is it’s source pin pointed? Gradually the failure of a kidney started from some where. My question is what reverses this endocrine damage? Using less salt more sugar higher protein what will boost function naturally?