The 1989 morbidity and mortality meeting: how far have we come?

A R Hull1

  • 1Department of Internal Medicine, University of Texas, Southwestern Medical School, Dallas, USA.

Insights

This review examines progress in dialysis care since a 2015 symposium. It assesses advancements in reducing morbidity and mortality, and optimizing dialysis prescriptions over the past nine years.

Area of Science:

  • Nephrology
  • Renal Medicine
  • Dialysis Therapy

Background:

  • The Morbidity, Mortality, and Prescription of Dialysis Symposium convened nearly a decade ago.
  • Proceedings were published in the American Journal of Kidney Diseases.
  • This review revisits key symposium topics.

Purpose of the Study:

  • To evaluate progress in dialysis care since the 2015 symposium.
  • To assess advancements in reducing patient morbidity and mortality.
  • To analyze changes in dialysis prescription practices.

Main Methods:

  • Review of key materials from the 2015 symposium.
  • Evaluation of accomplishments in dialysis care over the intervening years.
  • Analysis of morbidity, mortality, and prescription trends.

Main Results:

  • Key findings from the symposium are revisited.
  • Progress in addressing dialysis-related morbidity and mortality is assessed.
  • Changes in prescription strategies are evaluated.

Conclusions:

  • The article provides a retrospective analysis of dialysis care.
  • It highlights areas of achievement and ongoing challenges in the field.
  • It sets the stage for future directions in renal replacement therapy.

Related Concept Videos

Regression Toward the Mean01:52

Regression Toward the Mean

Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when researchers try to extrapolate results...
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Levels of Health Promotion and Illness Prevention01:26

Levels of Health Promotion and Illness Prevention

Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
Prevalence and Incidence01:08

Prevalence and Incidence

In statistical epidemiology and health sciences, two essential metrics—prevalence and incidence—are fundamental for understanding disease dynamics within a population. These measures enable public health officials, epidemiologists, and researchers to assess the burden of diseases, allocate resources effectively, and design impactful public health policies and interventions.
Prevalence indicates the proportion of individuals in a population who have a specific disease or health condition at a...
Principles of Disease Surveillance01:26

Principles of Disease Surveillance

Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
Diagnostic and Statistical Manual of Mental Disorders (DSM)01:27

Diagnostic and Statistical Manual of Mental Disorders (DSM)

The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...