2014CSN臨床實踐指南:慢性透析的啟動時間
發(fā)布時間:2017-08-30 11:13:47    瀏覽量: 571
關(guān)鍵字:CSN,臨床實踐指南,慢性透析,啟動時間
簡介:

Initiating chronic dialysis has major implications for patients and health care systems. Within the spectrum of severity of

chronic kidney disease, there is a need to identify a threshold before which starting dialysis offers no benefit to the patient but beyond which there may be some measurable risk.

Identifying this threshold remains a challenge because of the inaccuracy of creatinine-based measures of kidney function; a body of evidence composed of potentially biased observational data; and reliance on poorly validated nutritional surrogate markers, with an underemphasis on patient-important outcomes such as hospital admission and quality of life. Collectively,

these factors may account in part for the recent increase in earlier (i.e., at a higher level of kidney function) initiation of dialysis in Canada and the United States. Considering the enormous burden imposed by dialysis on patients and health care systems, there is a need for a judicious approach to dialysis initiation.

The Initiating Dialysis Early and Late (IDEAL) study, builds on the prior observational experience with timing of dialysis initiation and has prompted us to revisit the previous guidelines by the Canadian Society of Nephrology


0
0
0
瀏覽附件
白嫩少妇激情无码久久,国产AV无码专区国产乱码DVD,深夜福利亚洲精品,中文字幕无码视频摸,国产午夜激无码av片,久久这里有精品国产99re66,日韩在线观看不卡视频,亚洲一区无码动漫