RT Book, Section
A1 Jameson, J. Larry
A1 Fauci, Anthony S.
A1 Kasper, Dennis L.
A1 Hauser, Stephen L.
A1 Longo, Dan L.
A1 Loscalzo, Joseph
SR Print(0)
ID 1167067450
T1 Dialysis
T2 Harrison's Manual of Medicine, 20e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260455342
LK accessmedicine.mhmedical.com/content.aspx?aid=1167067450
RD 2023/05/30
AB The  decision  to  initiate  dialysis  for  the  management  of  end-stage  renal  disease  (ESRD)  usually  depends  on  a  combination  of  the  pt’s  symptoms,  comorbid  conditions,  and  laboratory  parameters.  Unless  a  living  donor  is  identified,  transplantation  is  deferred  by  necessity,  due  to  the  scarcity  of  deceased  donor  organs  (median  waiting  time,  3–6  years  at  most  transplant  centers).  Dialytic  options  include  hemodialysis  and  peritoneal  dialysis  (PD).  Roughly  85%  of  U.S.  pts  are  started  on  hemodialysis.  All  three  forms  of  “renal  replacement  therapy”  (RRT)  require  planning  and  preparation  months  to  years  before  ESRD  occurs;  early  referral  to  a  nephrologist  is  thus  critical  for  successful  RRT.