TY - JOUR
AU - Cohen, Eric P.
AB - Letters COMMENT & RESPONSE ask about adherence to dialysis and examine for the presence of fluid overload. Observing lung rales, scratch marks on the Dialysis back, and uremic breath will prompt communication with To the Editor Drs Flythe and Watnick’s Review of dialysis for the nephrologist, instead of the addition of a prescription to the chronic kidney failure is timely and useful because more than already much-medicated patient receiving dialysis. half a million US residents receive long-term dialysis. Their bur- den of illness needs the understanding and intervention of di- Eric P. Cohen, MD verse medical and surgical specialties. Author Affiliation: New York University School of Medicine, New York. However, there did not appear to be discussion in this article of the adequacy of dialysis, measured by kinetics; urea Corresponding Author: Eric P. Cohen, MD, New York University School of Medicine, Manhattan VAMC, 423 E 23rd St, New York, NY 10010 reduction ratio; or evident extracellular volume overload. In- (Eric.Cohen@nyulangone.org). adequate dialysis causes many of the symptoms that Flythe Published Online: April 2, 2025. doi:10.1001/jama.2025.0279 and Watnick discuss, including itching, cramps, and short- Conflict of Interest Disclosures: None reported. ness of breath. 1. Flythe JE, Watnick S. Dialysis for 
TI - Dialysis
JF - JAMA
DO - 10.1001/jama.2025.0279
DA - 2025-04-02
UR - https://www.deepdyve.com/lp/american-medical-association/dialysis-OGAgHTGt7W
SP - 1546
EP - 1546
VL - 333
IS - 17
DP - DeepDyve
ER -