So-called conservative management can ease symptoms without dialysis in some people with kidney disease. But many of them are never given the option.
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!
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.
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.
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.
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.
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.
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 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.
Four kidneys, two transplants, one small girl, one big adventure
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 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.
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 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, 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.
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.