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Erschienen in: Der Nephrologe 6/2017

21.09.2017 | Diabetische Nephropathie | Leitthema

Diabetespatienten mit terminaler Niereninsuffizienz

Welches ist die beste Dialysetherapie?

verfasst von: Prof. Dr. M. D. Alscher

Erschienen in: Die Nephrologie | Ausgabe 6/2017

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Zusammenfassung

Der Diabetes Typ 2 und damit auch die diabetischen Nephropathien nehmen weltweit zu. In einem Prozentsatz von etwa 15 % kann dies dann zur Notwendigkeit eines Nierenersatzes führen. Kommt eine primäre, präemptive Nierentransplantation nicht in Betracht, muss eine Dialyse eingeleitet werden. Leitlinien empfehlen die Peritonealdialyse (PD) als Verfahren der Wahl für Diabetikespatienten. Dies ist begründbar durch besseres Überleben in den ersten Jahren der Behandlung, besseren Erhalt der Restnierenfunktion und weitere Faktoren wie Lebensqualität, Mobilität etc., die aber nicht Gegenstand der Übersicht sind. Es ist erstaunlich, dass die PD in Deutschland nur einen Anteil um 5 % hat. Bei aufgeklärten Patienten und freier Verfahrenswahl beträgt der PD-Anteil 30–50 %.
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Metadaten
Titel
Diabetespatienten mit terminaler Niereninsuffizienz
Welches ist die beste Dialysetherapie?
verfasst von
Prof. Dr. M. D. Alscher
Publikationsdatum
21.09.2017
Verlag
Springer Medizin
Erschienen in
Die Nephrologie / Ausgabe 6/2017
Print ISSN: 2731-7463
Elektronische ISSN: 2731-7471
DOI
https://doi.org/10.1007/s11560-017-0190-6

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