Rationale and Strategies for Preserving Residual Kidney Function in Dialysis Patients

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Strategies for preserving residual renal function in peritoneal dialysis patients

Although there have been many advancements in the treatment of patients with chronic kidney disease (CKD) over the last 50 years, in terms of reducing cardiovascular risk, mortality remains unacceptably high, particularly for those patients who progress to stage 5 CKD and initiate dialysis (CKD5d). As mortality risk increases exponentially with progressive CKD stage, the question arises as to w...

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Preserving residual renal function in peritoneal dialysis: volume or biocompatibility?

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Incremental peritoneal dialysis: Clinical outcomes and residual kidney function preservation.

INTRODUCTION Initiation of peritoneal dialysis (PD) with 3 exchanges has become common practice in recent years, despite the lack of published clinical data. OBJECTIVE To describe experience with incremental peritoneal dialysis (IPD) at a single site. MATERIAL AND METHODS A total of 46 IPD patients undergoing 2-year clinical, laboratory, treatment and progression follow-up. RESULTS To 25%...

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Preserving residual renal function in dialysis patients: an update on evidence to assist clinical decision making

It has been documented that preservation of residual renal function in dialysis patients improves quality of life as well as survival. Clinical trials on strategies to preserve residual renal function are clearly lacking. While waiting for more results from clinical trials, patients will benefit from clinicians being aware of available knowledge. The aim of this review was to offer an update on...

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Association Between Residual Kidney Function and Visit-to-Visit Blood Pressure Variability in Peritoneal Dialysis Patients.

Visit-to-visit blood pressure (BP) variability has recently been recognized as an important risk factor for decline of residual kidney function (RKF) in patients with chronic kidney disease. However little is known about the impact of visit-to-visit BP variability on RKF in peritoneal dialysis (PD) patients. We retrospectively studied the association between RKF and visit-to-visit BP variabilit...

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ژورنال

عنوان ژورنال: American Journal of Nephrology

سال: 2019

ISSN: 0250-8095,1421-9670

DOI: 10.1159/000503805