Association between timing of peritoneal dialysis initiation and mortality in end‐stage renal disease

Chronic Diseases and Translational Medicine - Tập 5 - Trang 37-43 - 2019
Yuan Peng1,2, Xiao Yang1,2, Wei Chen1,2, Xue-Qing Yu1,2
1Department of Nephrology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong 510080, China
2Key Laboratory of Nephrology, National Health Commission and Guangdong Province, Guangzhou, Guangdong 510080, China

Tóm tắt

AbstractDespite the widespread use of chronic dialysis for end‐stage renal disease (ESRD), there is no consensus on the optimal timing of initiating renal replacement therapy. Over the past decade, a worldwide trend toward increasing glomerular filtration rate at the initiation of dialysis has been noted. However, available data indicate that early dialysis has no survival benefit or is harmful. Peritoneal dialysis (PD) is one alternative for ESRD and has potential survival factors different from those of hemodialysis. The association between the timing of PD initiation and survival is unclear. This review examines the effect of the timing of dialysis on clinical outcomes in PD patients.

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