When is it time to start dialysis?

when to start dialysis in elderly patients

When to initiate dialysis--is early start always better?

The question when to initiate dialysis is attracting increasing attention. In recent years, there has been a tendency to initiate dialysis earlier in terms of estimated glomerular filtration rate (eGFR) in an attempt to achieve better patient outcomes. However, several observational studies and one randomized controlled trial have found no benefit for early dialysis initiation. On the contrary,...

When to Start Dialysis in Elderly Patients

Implication for health policy/practice/research/medical education: To improve the outcomes of elderly patients with ESRD, it is necessary to develop a specific approach based on their comorbidities, disabilities and quality of life. which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. End stage renal disease (ESRD) is a pote...

Dialysis: when to start or when to stop?

Sir, There have been several recent discussions around the timing of initiation of dialysis [1,2]. There remains little scientific consensus on when to start and on which clinical and biochemical parameters we base this decision. In the broadest sense, dialysis should serve to decrease morbidity and/or mortality whilst maintaining or improving quality of life. It is almost assumed that renal re...

Writing qualitative article: It is time to quality improvement

Précis: This debate article highlights some questions from critics of qualitative research. Planning for proper design, philosophical background, researcher as a research instrument in the study, trustworthiness and application of findings are main debates in this field. One of the issues that have been received little attention is report of qualitative inquiry. A qualified report can an...