Old habits dialyse hard

File:Plugged into dialysis.jpg



It’s always hard in end stage renal failure to choose the optimal time to consider dialysis, although recently people having been moving more and more toward early dialysis. So, when to dialyse? NEJM has the answer – read on after the break. 




This randomised controlled trial compared starting dialysis early, at a GFR of 10-15, or late, at a GFR of 5-7, and looked at mortality as the primary outcome. As you can see from the article, there was no real advantage to starting early – outcomes were pretty similar. It is important to note that over 75% of the late start group had to start dialysis earlier than planned due to the development of symptoms. 


This is definitely going to generate some discussion – make sure you’re ahead of the curve by reading up here


IMAGE: newslighter

Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s