Death on Hemodialysis: Preventable or Inevitable? by Eli A. Friedman (auth.), Eli A. Friedman MD (eds.)

By Eli A. Friedman (auth.), Eli A. Friedman MD (eds.)

Death on Hemodialysis: Preventable or Inevitable? offers the transactions of the Brooklyn assembly, held in April 1993, together with an research by means of Scribner and Schreiner and an creation by way of Edmund Bourke. Authors comprise the heads of dialysis registries for Japan, Europe, and the USA, in addition to protagonists of dialyser reuse and brief dialysis instances. fanatics championed the selection of adequacy of dialysis via formulae or through scientific evaluation. All chapters are direct and forceful. The reader can be in a position to pass judgement on the knowledge on what are key controversies in making plans dialysis protocols and schedules.

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The influence of particular diseases on mortality is of importance. The reported causes of end-stage renal failure (ESRF) in different European coun- Analysis of causes of death 27 ·€i Total Registry 100~~~~~~~~;;;;;;::::~:=======::::::::] 90~ 80 70 ..................... 60 ...... 14 + 15·24 50 ...... 40 ...... 30 ...... -e- 45·54 20 ...... 10 0 25·34 ... 35·44 ... -- 55·64 65·74 ..... 75·84 o 3 2 4 5 years after starting first haemodialysis Fig. 3. Survival on haemodialysis: all patients beginning renal replacement therapy during 1986 to 1991.

References 1. Held PJ, Brunner F, Odaka M, Garcia JR, Port FK, Gaylin DS. Five-year survival for end-stage renal disease patients in the United States, Europe, and Japan, 1982 to 1987. Am J Kidney Dis 1990; 15: 451--457. 2. Dialysis Mortality: Preventable or Inevitable? SUNY Health Science Center at Brooklyn, NY; April 26, 1993. 3. Gaylin DS, Held PJ, Port FK, Hunsicker LG, Wolfe RA, Kahan BD, Jones CA, Agodoa LYe. The impact of comorbid factors on access to renal transplantation. JAMA 1993; 269: 603-608.

6. Dialyser surface area in the United States and Europe [2,16,17]. The percentage of the total patients in each range of dialyser surface area is represented by the bars. 20~--------------------~ 0 5 6 7 8910111213141516 Dialysis hours per week Fig. 7. Equivalent creatinine clearance provided by the total dialytic therapy in the US and Europe. This value is calculated by dividing total weekly creatinine clearance provided by the dialyser by the total number of minutes per week and is broadly equivalent to endogenous residual renal function of the patient.

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