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]
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://www.ncbi.nlm.nih.gov/pubmed/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://www.ncbi.nlm.nih.gov/pubmed/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://www.ncbi.nlm.nih.gov/pubmed/31009039 https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2730766