Dialysis
Dialysis is a life-changing event. It’s a very demanding form of treatment. It involves medical issues, spiritual issues, quality of life. It’s a big decision - Susan Wong MD
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The current and future landscape of dialysis
The global dialysis population is growing rapidly, especially in low-income and middle-income countries; however, worldwide, a substantial number of people lack access to kidney replacement therapy, and millions of people die of kidney failure each year, often without supportive care.
The costs of dialysis care are high and will likely continue to rise as a result of increased life expectancy and improved therapies for causes of kidney failure such as diabetes mellitus and cardiovascular disease.
Patients on dialysis continue to bear a high burden of disease, shortened life expectancy and report a high symptom burden and a low health-related quality of life.
Resources
Dialysis Is a Way of Life for Many Older Patients. Maybe It Shouldn’t Be
So-called conservative management can ease symptoms without dialysis in some people with kidney disease. But many of them are never given the option.
Dialysis, There's No Place Like Home
Kidney failure and its treatment dialysis is overwhelming the medical systems of many countries. Could home hemodialysis be the answer? Besides that, people may actually live longer and healthier lives!
Dialysis: An Experiment In Universal Health Care
The cost of treatment is among the world's highest, while the U.S. mortality rate for dialysis patients is one of the world's worst. One in four patients will die within 12 months of starting treatment.
John Oliver targets dialysis, a procedure that’s exhausting, deadly, and very profitable
It would be far better for DaVita and Fresenius’s patients to get kidney transplants, which extends your lifespan by about 10 years on average, relative to remaining on dialysis, while avoiding exhausting, time-consuming treatment that makes holding down a job or traveling extremely difficult. But as Oliver notes, many dialysis centers fail to give patients information on transplantation, or actively discourage them from getting on the kidney waitlist. Partly as a result, about 40 percent of people eligible for a kidney transplant aren’t on the waiting list for one.
Kidney Dialysis Is a Booming Business—Is It Also a Rigged One?
Jo Karabasz knew her dialysis clinic well. Before switching to at-home treatment this summer, the former high school English teacher spent five and a half years visiting some of the dozens of DaVita dialysis clinics that dot the Northern California landscape. Her beige chair in the front corner of one clinic, where she attended appointments three times a week, quickly became her home away from home.
Physician Saw Opportunity in Kidney Dialysis
Edward B. Hager was a prominent kidney doctor and Harvard Medical School instructor in the late 1960s when he saw an opportunity to make money while prolonging human lives.
Why people with kidney disease opt for palliative care over dialysis
It is starting to be recognised that some people with ESRD will not benefit from dialysis, particularly because it can shorten life. The difficulty is in identifying those for whom dialysis might hasten death. Increasing frailty, additional co-morbidities and poor functional status is likely to reduce your chance of effective dialysis. Quality of life is another important issue.
“God Help You. You're on Dialysis.”
Every year, more than 100,000 Americans start dialysis. One in four of them will die within 12 months—a fatality rate that is one of the worst in the industrialized world. Oh, and dialysis arguably costs more here than anywhere else.
The current and future landscape of dialysis
The development of dialysis by early pioneers such as Willem Kolff and Belding Scribner set in motion several dramatic changes in the epidemiology, economics and ethical frameworks for the treatment of kidney failure. However, despite a rapid expansion in the provision of dialysis — particularly haemodialysis and most notably in high-income countries (HICs) — the rate of true patient-centred innovation has slowed.
Dialysis Girl on Tour
Four kidneys, two transplants, one small girl, one big adventure
Dialysis Patient Citizens
DPC is a non-profit patient organization dedicated to improving dialysis patients’ quality of life by developing awareness of dialysis issues, advocating for dialysis patients, promoting favorable public policy and improving the partnership between patients and caregivers.
DOPPS
DOPPS investigations focus on determining which dialysis practices are associated with the best patient outcomes, with the primary goal of improving patient longevity, quality of life, and other outcomes. With over 75 peer-reviewed publications in print or in press, the DOPPS continues to provide numerous important findings that are relevant for patients and practicing clinicians alike.
Kidney Care UK
There are two types of dialysis - haemodialysis and peritoneal dialysis. In some cases some people with kidney failure choose not to have dialysis treatment.
Seminars in Dialysis
Seminars in Dialysis is a bimonthly publication focusing exclusively on cutting-edge clinical aspects of dialysis therapy. Besides publishing papers by the most respected names in the field of dialysis, the Journal has unique useful features, all designed to keep you current: dialysis clinic, dialysis rounds, hemodialysis citations, editorials, opinions, brief notes.
The Kidney Transplant/Dialysis Association
The KIDNEY TRANSPLANT/DIALYSIS ASSOCIATION, INC. (KT/DA), is an all-volunteer, patient-run, non-profit organization made up of kidney dialysis and transplant patients, kidney donors, their families and friends, and health professionals.
National Kidney Foundation
You need dialysis when you develop end stage kidney failure --usually by the time you lose about 85 to 90 percent of your kidney function and have a GFR of <15.
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