| Theme | Diagnostic and Therapeutic Guidelines in End-stage Renal Failure | |
|---|---|---|
| Title | Choice of renal replacement therapy | |
| Publish Date | 2004/01 | |
| Author | Ken Sakai | Department of Nephrology, Toho University School of Medicine |
| Author | Akira Hasegawa | Department of Nephrology, Toho University School of Medicine |
| [ Summary ] | ESRD can be treated with hemodialysis, peritoneal dialysis and renal transplantation. The choice appears to be more related to non-medical factors such as finance, reimbursement, or physician biases. It is important that these three different methods of treatment are not regarded as competitive, but are integrated into the management of patients with ESRD to optimize both outcome and quality of life. Peritoneal dialysis and preemptive renal transplantation should also be taken into consideration as initial therapies to make a whole life plan for ESRD. | |