Canadian Society of Nephrology 2014 clinical practice guideline for timing the initiation of chronic dialysis

The CSN 2014 clinical practice guideline for timing the initiation of chronic dialysis makes the following main points. Early initiation of dialysis does not improve survival, quality of life or hospital admission rates compared with late or deferred initiation of dialysis.  As a result, they  recommend an “intent-to-defer” strategy, whereby patients with an eGFR < 15 mL/ min per 1.73 m2 are closely monitored, with dialysis initiated when symptoms develop or eGFR is ≤ 6 mL/min per 1.73m2. : A Randomized, Controlled Trial of Early versus Late Initiation of Dialysis Broadening Options for Long-term Dialysis in the Elderly (BOLDE): differences in quality of life on peritoneal dialysis compared to haemodialysis for older patients Association between estimated glomerular filtration rate at initiation of dialysis and mortality
Source: Nephrology Now - Category: Urology & Nephrology Authors: Tags: Chronic Kidney Disease Clinical Practice Guidelines Hemodialysis Source Type: research