TY - JOUR
AU1 - Rosansky, Steven J.
AB - VIEWPOINT The Sad Truth About Early Initiation of Dialysis in Elderly Patients in elderly patients is not justified. This Viewpoint exam- Steven J. Rosansky, MD ines issues related to this trend and provides suggestions for management of elderly patients with advanced chronic ORTY YEARS AGO, AN ARTICLE IN JAMA ENTITLED “THE kidney disease (CKD). Sad Truth About Hemodialysis in Diabetic Nephropa- In 1997, published guidelines encouraged dialysis initia- thy” highlighted the poor outcomes for patients with tion for patients with poor nutrition in association with eGFR 1 2 Fdiabetes who were treated with dialysis. In the early levels of more than 10 mL/min per 1.73 m and in 2002, 2 4 1970s some patients with diabetes were not offered dialy- more than 15 mL/min per 1.73 m . Although decreased pro- sis because of expected poor outcomes. The problems of vi- tein intake and poor nutrition are associated with progres- sual deterioration and chronic fluid overload have been sive renal failure, there is no convincing evidence that di- largely resolved with laser therapy for diabetic retinopathy alysis improves nutrition (the most frequent justification for and vastly improved dialysis techniques. In a report pub- early initiation) and several publications report 
TI - The Sad Truth About Early Initiation of Dialysis in Elderly Patients
JF - JAMA
DO - 10.1001/jama.2012.3522
DA - 2012-05-09
UR - https://www.deepdyve.com/lp/american-medical-association/the-sad-truth-about-early-initiation-of-dialysis-in-elderly-patients-vaMacI0VuH
SP - 1919
EP - 1920
VL - 307
IS - 18
DP - DeepDyve
ER -