renal dialysis
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Introduction
Dialysis of body fluids to remove substances generally excreted by the kidney, including:
Indications
Complications
- hypovolemia or hypervolemia given the exchange of large volume of fluid
- mortality may be 8% higher for hemodialysis than peritoneal dialysis[2]
- mortality is similar for hemodialysis & peritoneal dialysis[3]
- among Medicare patients, ~ 50% die during the first year of dialysis[4]
- quality of life for in-home peritoneal dialysis may be better than for in-center hemodialysis[3]
Management
- iron therapy may lower risk of hospitalization for heart failure or cardiovascular death[5]
More general terms
More specific terms
- hemodialysis
- peritoneal dialysis; continuous abdominal/ambulatory (cycling) peritoneal dialysis (CAPD, CCPD)
References
- ↑ Medical Knowledge Self Assessment Program (MKSAP) 17, American College of Physicians, Philadelphia 2015
- ↑ 2.0 2.1 Weinhandl ED, Foley RN, Gilbertson DT et al Propensity-matched mortality comparison of incident hemodialysis and peritoneal dialysis patients. J Am Soc Nephrol. 2010 Mar;21(3):499-506. PMID: https://pubmed.ncbi.nlm.nih.gov/20133483 Free PMC Article
- ↑ 3.0 3.1 3.2 Wong B, Ravani P, Oliver MJ et al. Comparison of patient survival between hemodialysis and peritoneal dialysis among patients eligible for both modalities. Am J Kidney Dis 2018 Mar; 71:344 PMID: https://pubmed.ncbi.nlm.nih.gov/29174322
- ↑ 4.0 4.1 Wachterman MW, O'Hare AM, Rahman OK et al One-Year Mortality After Dialysis Initiation Among Older Adults. JAMA Intern Med. Published online April 22, 2019. PMID: https://pubmed.ncbi.nlm.nih.gov/31009039 https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2730766
- ↑ 5.0 5.1 Chan B, Varghese A, Badve SV et al Systematic Review of the Effects of Iron on Cardiovascular, Kidney, and Safety Outcomes in Patients With CKD. Kidney International Reports. 2025. Jan 29 PMID: https://pubmed.ncbi.nlm.nih.gov/40303218 PMCID: PMC12034885 Free PMC article. https://www.kireports.org/article/S2468-0249(25)00054-3/fulltext