DIALYSIS START TIMING: DEVELOPMENT AND VALIDATION OF START SCORING SCALE

Early vs late start of dialysis: it's all about timing

Acute kidney injury (AKI) is now well recognized as an independent risk factor for increased morbidity and mortality, particularly when dialysis is needed. The wide variation in dialysis utilization contributes to a lack of consensus on what parameters should guide the decision to start dialysis. While the association of early initiation of dialysis with survival benefit was first demonstrated ...

when to start dialysis in elderly patients

Early start of dialysis: a critical review.

In the US, patients who initiate dialysis "early" (at Modification of Diet in Renal Disease estimated GFR [eGFR]> 10 ml/min per 1.73 m(2)) account for over 50 percent of new dialysis starts. This trend to an early start is based on conventional wisdoms regarding benefits of dialytic clearance, that albumin levels are nutritional markers, and early dialytic therapy is justified to improve nutrit...

When to Start Dialysis in Elderly Patients

Implication for health policy/practice/research/medical education: To improve the outcomes of elderly patients with ESRD, it is necessary to develop a specific approach based on their comorbidities, disabilities and quality of life. which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. End stage renal disease (ESRD) is a pote...

Early-start dialysis in diabetic nephropathy.

Department of Medicine, Dunedin School of Medicine, University of Otago Medical School, Dunedin, New Zealand T he point at which dialysis is initiated is still largely an empirical decision that is influenced by a number of variables, many of which are not actually linked to the individual's end-stage renal failure but rather to economic and social factors (1). The traditional approach has been...