[Renal replacement therapy in advanced chronic kidney disease. Review of the starting criteria in dialysis programs and assessment of the efficacy and effectiveness of an early start]
Cantero Munoz P, Ruano Ravina A
Record ID 32009100340
Spanish
Authors' objectives:
To analyse the influence of time of initiation of dialysis on morbidity and mortality of chronic renal failure sufferers during the first years of dialysis, on the basis of residual kidney function, and to assess the influence of initiation of dialysis on patients' quality of life.
Authors' recommendations:
Early initiation appears to have worse results in haemodialysis than in peritoneal dialysis, with gender and the presence or absence of diabetes being the variables that most influence outcomes. Patients' initial health status and any predialysis care received are shown to be more relevant factors than time of initiation of dialysis, thus highlighting the importance of a programmed initiation of RRT. Accordingly, there is a need for studies of good methodological quality to ascertain in which population subgroups early initiation of treatment would be beneficial, as well as studies that rigorously assess the quality of life of patients who initiate RRT early.
Details
Project Status:
Completed
URL for project:
http://www.sergas.es/MostrarContidos_N3_T02.aspx?IdPaxina=60563&uri=/Docs/Avalia-t/IA2009_01TRenalSus.pdf&hifr=1250&seccion=0
Year Published:
2009
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Spain
MeSH Terms
- Humans
- Kidney Transplantation
- Liver Transplantation
- Renal Replacement Therapy
Contact
Organisation Name:
Scientific Advice Unit, avalia-t; The Galician Health Knowledge Agency (ACIS)
Contact Address:
Conselleria de Sanidade, Xunta de Galicia, San Lazaro s/n 15781 Santiago de Compostela, Spain. Tel: 34 981 541831; Fax: 34 981 542854;
Contact Name:
avalia-t@sergas.es
Contact Email:
avalia-t@sergas.es
Copyright:
Galician Agency for Health Technology Assessment (AVALIA-T)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.