Starting dialysis is dangerous: how do we balance the risk?

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Presentation transcript:

Starting dialysis is dangerous: how do we balance the risk? Christopher W. McIntyre, Steven J. Rosansky Kidney International Volume 82, Issue 4, Pages 382-387 (August 2012) DOI: 10.1038/ki.2012.133 Copyright © 2012 International Society of Nephrology Terms and Conditions

Figure 1 Chances of survival at any given starting glomerular filtration rate are a complex dynamic balance between the benefits of relieving advanced uremia and the risks of the attendant therapy. The pivot point for this balance is the individual patient tolerability of both the uremia and the proposed renal replacement therapy. This pivot point itself is somewhat different between patients and even within the same patient over a period of time. The relative weight of the risk of being markedly uremic may well be substantially less than those inherent in dialysis (as it is commonly initiated and performed). Kidney International 2012 82, 382-387DOI: (10.1038/ki.2012.133) Copyright © 2012 International Society of Nephrology Terms and Conditions