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Renal Replacement Therapies

Mar 13, 2023
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ADVICE

Timing Dialysis Discussions

  • Initiate dialysis conversations when a patient's GFR is between 15 and 30.
  • Consider factors like GFR decline rate and patient age.
INSIGHT

Early vs. Late Dialysis

  • Studies show no mortality benefit to starting dialysis earlier in CKD 5 patients.
  • Closely monitor volume status and symptoms instead of solely relying on GFR numbers.
ADVICE

Choosing Dialysis Modality

  • For independent patients who travel, consider peritoneal dialysis (PD).
  • Intermittent hemodialysis (HD) suits patients who prefer in-center care and social interaction.
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