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Pediatric Nephrology

Erschienen in:

12.06.2023 | Review

Incremental dialysis: review of the literature with pediatric perspective

verfasst von: Raj Munshi, Sarah J. Swartz

Erschienen in: Pediatric Nephrology | Ausgabe 1/2024

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Abstract

Drivers towards initiation of kidney replacement therapy in advanced chronic kidney disease include metabolic and fluid derangements, growth, and nutritional status with focus on health optimization. Once initiated, prescription of dialysis is often uniform despite variability in patient characteristics and etiology of kidney failure. Preservation of residual kidney function has been associated with improved outcomes in patients with advanced chronic kidney disease on dialysis. Incremental dialysis is the approach of reducing the dialysis dose by reduction in treatment time, days, or efficiency of clearance. Incremental dialysis has been described in adults at initiation of kidney replacement therapy, to better preserve residual kidney function and meet the individual needs of the patient. Consideration of incremental dialysis in pediatrics may be reasonable in a subset of children with continued emphasis on promotion of growth and development.

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Titel: Incremental dialysis: review of the literature with pediatric perspective
verfasst von: Raj Munshi
Sarah J. Swartz
Publikationsdatum: 12.06.2023
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Nephrology / Ausgabe 1/2024
Print ISSN: 0931-041X
Elektronische ISSN: 1432-198X
DOI: https://doi.org/10.1007/s00467-023-06030-9

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Incremental dialysis: review of the literature with pediatric perspective

Abstract

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