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Overview of, and Preparations for, Dialysis

Maryam Gondal1

  • 1Department of Internal Medicine, Section of Nephrology, Yale School of Medicine, 330 Cedar Street, BB114, New Haven, CT 06510, USA.

The Medical Clinics of North America
|May 31, 2023
PubMed

Insights

Chronic kidney disease (CKD) is a progressive decline in kidney function. Predialysis education empowers patients with CKD to make informed treatment decisions, potentially improving outcomes and delaying dialysis initiation.

Area of Science:

  • Nephrology
  • Internal Medicine
  • Public Health

Background:

  • Chronic kidney disease (CKD) is defined by decreased kidney function (GFR < 60 mL/min/1.73 m2) or kidney damage markers for at least 3 months.
  • CKD significantly increases morbidity, mortality, hospitalization, and healthcare utilization.
  • Kidney failure necessitates renal replacement therapy (dialysis or transplant).

Purpose of the Study:

  • To highlight the importance of predialysis education for patients with chronic kidney disease.
  • To underscore how informed decision-making impacts patient lifestyle and treatment modality selection.

Main Methods:

  • Review of existing literature on chronic kidney disease (CKD) and predialysis education.
  • Analysis of the impact of patient education on treatment modality choice and health outcomes.

Main Results:

  • Predialysis education facilitates informed patient decisions regarding renal replacement therapy.
  • Education is associated with delayed initiation of dialysis.
  • Improved patient outcomes include reduced cardiovascular complications and mortality.

Conclusions:

  • Predialysis education is a crucial component of CKD management.
  • Empowering patients with knowledge improves treatment adherence and long-term health.
  • Informed choices lead to better quality of life for individuals with kidney failure.

Keywords:
Chronic kidney disease stage 5HemodialysisPeritoneal dialysisPredialysis educationRenal replacement therapy

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