Presentation is loading. Please wait.

Presentation is loading. Please wait.

Optimization of pre-ESRD care: The key to improved dialysis outcomes

Similar presentations


Presentation on theme: "Optimization of pre-ESRD care: The key to improved dialysis outcomes"— Presentation transcript:

1 Optimization of pre-ESRD care: The key to improved dialysis outcomes
Brian J.G. Pereira, Dr  Kidney International  Volume 57, Issue 1, Pages (January 2000) DOI: /j x Copyright © 2000 International Society of Nephrology Terms and Conditions

2 Figure 1 Components of optimal pre-end-stage renal disease (ESRD) care. Abbreviations are: CRF, chronic renal failure; RRT, renal replacement therapy; ACE, angiotensin-converting enzyme; BP, blood pressure32. Kidney International  , DOI: ( /j x) Copyright © 2000 International Society of Nephrology Terms and Conditions

3 Figure 2 Malnutrition at the start of dialysis is associated with increased mortality. Based on data from the Case-Mix Adequacy Study of the United States Renal Data System, which included 2897 hemodialysis (□) and 666 peritoneal dialysis () patients who began dialysis in 1986–8727. Kidney International  , DOI: ( /j x) Copyright © 2000 International Society of Nephrology Terms and Conditions

4 Figure 3 Serum albumin levels at initiation of dialysis. Based on data from 110,843 patients who began dialysis in the United States between 1995 and Mean, 3.2 g/dL; median, 3.3 g/dL. Kidney International  , DOI: ( /j x) Copyright © 2000 International Society of Nephrology Terms and Conditions

5 Figure 4 (A) Predicted survival (Cox proportional hazards) for patients at initiation of dialysis with left-ventricular mass index above and below the gender-adjusted mean (reprinted with permission41). (B) Estimated survival (Cox proportional hazards) for patients at initiation of dialysis with and without cardiac failure at baseline (reprinted with permission41). Kidney International  , DOI: ( /j x) Copyright © 2000 International Society of Nephrology Terms and Conditions

6 Figure 5 Hematocrit levels at initiation of dialysis. Based on data from 131,484 patients who began dialysis in the United States between 1995 and Mean, 27.9%; median, 27.9%. Kidney International  , DOI: ( /j x) Copyright © 2000 International Society of Nephrology Terms and Conditions

7 Figure 6 Physician and patient roles in selection of dialysis modality. Choice was made by: the patient (); medical team, (□); or a collaboration of both (▪). Based on data from 2400 patients in the Dialysis Morbidity and Mortality Study of the United States Renal Data System2. Kidney International  , DOI: ( /j x) Copyright © 2000 International Society of Nephrology Terms and Conditions

8 Kidney International 2000 57, 351-365DOI: (10. 1046/j. 1523-1755. 2000
Kidney International  , DOI: ( /j x) Copyright © 2000 International Society of Nephrology Terms and Conditions


Download ppt "Optimization of pre-ESRD care: The key to improved dialysis outcomes"

Similar presentations


Ads by Google