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Hemodialysis in children: how, when and why

R Chimenz1, C Fede1, V Di Benedetto2

  • 1Department of Human Pathology in Adult and Developmental Age "Gaetano Barresi", Unit of Pediatric Nephrology and Rheumatology with Dialysis, University of Messina, Policlinico "G. Martino" Messina, Italy.

Journal of Biological Regulators and Homeostatic Agents
|October 22, 2019
PubMed

Insights

Chronic dialysis for end-stage renal disease in children is rare but serious. This study compares peritoneal dialysis and hemodialysis, detailing their advantages and disadvantages for pediatric patients.

Area of Science:

  • Pediatric Nephrology
  • Renal Replacement Therapy

Background:

  • End-stage renal disease (ESRD) in pediatric populations is uncommon but carries significant mortality and morbidity.
  • Primary glomerular disease (GD) is the leading cause of chronic kidney disease (CKD) in children, followed by congenital abnormalities and hereditary disorders.
  • Secondary GD, urologic, and metabolic diseases present a higher mortality risk in pediatric ESRD patients compared to primary GD.

Purpose of the Study:

  • To compare the treatment options for pediatric end-stage renal disease.
  • Specifically analyze and contrast peritoneal dialysis and hemodialysis in children and adolescents.

Main Methods:

  • Comparative analysis of peritoneal dialysis and hemodialysis.
  • Review of treatment modalities for pediatric ESRD.

Main Results:

  • The study focuses on comparing the pros and cons of peritoneal dialysis versus hemodialysis for pediatric ESRD.
  • Detailed comparison of outcomes and suitability of each dialysis modality.

Conclusions:

  • Understanding the comparative benefits and drawbacks of peritoneal dialysis and hemodialysis is crucial for managing pediatric ESRD.
  • Informed treatment choices can potentially improve outcomes and quality of life for affected children.

Keywords:
hemodialysiskidney diseaseperitoneal dialysistransplantation

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