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renal dialysis
Dialysis of body fluids to remove substances generally excreted by the kidney, including:
1) hemodialysis
2) peritoneal dialysis
Indications:
- end-stage renal disease
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]
Specific
hemodialysis
peritoneal dialysis; continuous abdominal/ambulatory (cycling) peritoneal dialysis (CAPD, CCPD)
General
dialysis
renal replacement therapy
References
- Medical Knowledge Self Assessment Program (MKSAP) 17,
American College of Physicians, Philadelphia 2015
- 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: 20133483 Free PMC Article
- 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: 29174322
- 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: 31009039
https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2730766