Timing of Initiation of RRT and Modality Selection

Clinical Journal of the American Society of Nephrology : CJASN
Joanne M Bargman

Abstract

There is no shortage of studies and registry data examining outcomes of patients on dialysis and those with a renal transplant. However, recently, there has been a greater focus on the events leading up to the institution of kidney replacement therapy. Associative data suggest that early and consistent predialysis care leads to better outcomes, including greater take-on to home-based therapy, diminished use of tunneled venous hemodialysis catheters, and improved early and even late survival. What transpires during predialysis visits is also important. Simple dissemination of facts to the unprepared patient is unlikely to be effective in moving the patient and family along in the process of the series of choices that have to be made around therapy. A more flexible and circumspect approach is needed, including recognizing when the patient is or is not ready for change. There seems to be no optimal timing of dialysis start that can be applied to the ESRD population as a whole, although the pendulum seems to be swinging back toward symptom-based rather than eGFR-based starts.

References

Jan 1, 1985·Addictive Behaviors·J O ProchaskaJ C Norcross
Jan 3, 2001·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·D C MendelssohnR L Mehta
Oct 9, 2001·Lancet·J C KorevaarUNKNOWN Netherlands Cooperative Study on the Adequacy of Dialysis Study Group
Jan 11, 2002·The American Journal on Addictions·K M CarrollN Hyland
Feb 28, 2002·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Sarbjit Vanita JassalDavid C Mendelssohn
Jun 28, 2002·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Amedeo F De VecchiClaudio Ponticelli
May 28, 2005·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Tony GoovaertsEric Goffin
Nov 29, 2005·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Gerald M DevinsYitzchak M Binik
Feb 1, 2007·Kidney International·M J OliverB J Manns
May 21, 2009·Kidney International·Steven Jay RosanskyRichard J Glassock
Oct 8, 2009·Clinical Journal of the American Society of Nephrology : CJASN·Rachel C CarsonAine Burns
Jan 22, 2010·Clinical Journal of the American Society of Nephrology : CJASN·Sara N Davison
Mar 2, 2010·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Matthew J OliverRobert R Quinn
Jun 29, 2010·The New England Journal of Medicine·Bruce A CooperUNKNOWN IDEAL Study
Jan 8, 2011·Clinical Journal of the American Society of Nephrology : CJASN·Jean-Philippe RiouxChristopher T Chan
May 10, 2011·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·James TattersallUNKNOWN ERBP Advisory Board
Jun 15, 2011·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Eduardo LacsonJoseph Pulliam
Oct 25, 2011·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Arshia Ghaffari
Feb 22, 2012·Clinical Journal of the American Society of Nephrology : CJASN·Thierry LobbedezDavid Evans
Jul 3, 2013·Advances in Chronic Kidney Disease·Eveline PorterJoanne M Bargman
Sep 27, 2013·Seminars in Dialysis·Steven J RosanskyLi Zuo
Feb 21, 2014·Kidney International·Rajni SinghalMatthew J Oliver
May 3, 2014·Kidney International·Julia J SciallaUNKNOWN DEcIDE Network Patient Outcomes in End Stage Renal Disease Study Investigators
May 21, 2014·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Kamyar Kalantar-ZadehDavid S Goldfarb
Sep 25, 2014·Clinical Journal of the American Society of Nephrology : CJASN·Yelena Slinin, Areef Ishani

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Citations

Jan 19, 2016·Kidney Research and Clinical Practice·Min-Jeong LeeGyu-Tae Shin
Dec 18, 2015·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Liviu SegallAdrian Covic
Nov 21, 2015·Journal of Nephrology·Mario PacilioLuca De Nicola
Aug 29, 2016·Journal of Nephrology·Vincenzo BellizziUNKNOWN “Conservative Treatment of CKD” Study Group of the Italian Society of Nephrology
May 1, 2019·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Evgenia PrekaSevcan A Bakkaloglu
Sep 14, 2018·The Medical Journal of Australia·Titi ChenDavid C Harris

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