TY - JOUR
T1 - The right patient, the right treatment, the right access and the right time
AU - Link, Denise Keller
AU - Saxena, Ramesh
N1 - Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2014/7
Y1 - 2014/7
N2 - As the incidence of CKD increases, so will the ESRD population. Pre-ESRD care, including early referral to nephrology and patient education, enables patients and providers working together to determine which therapy modality is best suited for their individualized needs: conservative therapy, kidney transplant, hemodialysis, or peritoneal dialysis. Differentiating the therapy modality should be based on many factors and not solely based on outcome data. Acknowledging that there is no "one-size-fits-all" therapy modality allows the patient and the interdisciplinary team to ensure that the appropriate access is chosen at the appropriate time. Lastly, the timing of initiation is paramount for improving patient outcomes, including less central venous catheter placement in incident hemodialysis and more planned arteriovenous accesses, improved quality of life, less hospitalization time, and reduced costs.
AB - As the incidence of CKD increases, so will the ESRD population. Pre-ESRD care, including early referral to nephrology and patient education, enables patients and providers working together to determine which therapy modality is best suited for their individualized needs: conservative therapy, kidney transplant, hemodialysis, or peritoneal dialysis. Differentiating the therapy modality should be based on many factors and not solely based on outcome data. Acknowledging that there is no "one-size-fits-all" therapy modality allows the patient and the interdisciplinary team to ensure that the appropriate access is chosen at the appropriate time. Lastly, the timing of initiation is paramount for improving patient outcomes, including less central venous catheter placement in incident hemodialysis and more planned arteriovenous accesses, improved quality of life, less hospitalization time, and reduced costs.
KW - Hemodialysis
KW - Kidney education
KW - Peritoneal dialysis
KW - Renal replacement therapy
KW - Timing of dialysis initiation
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U2 - 10.1053/j.ackd.2014.02.013
DO - 10.1053/j.ackd.2014.02.013
M3 - Review article
C2 - 24969388
AN - SCOPUS:84902963093
SN - 1548-5595
VL - 21
SP - 360
EP - 364
JO - Advances in Chronic Kidney Disease
JF - Advances in Chronic Kidney Disease
IS - 4
ER -