A patient centered decision making dialysis access algorithm

Ingemar Davidson, M. Gallieni, R. Saxena, B. Dolmatch

Research output: Contribution to journalReview article

27 Scopus citations

Abstract

Much controversy surrounds the establishment of proper planning, placement and management (the best practice pattern) of dialysis access. These include the dialysis type and modality selection, timing of access placement and who places the access. The lack of and the difficulty of performing randomized studies with multiple confounding factors, in an extremely heterogeneous and rapidly changing ESRD population demographics, only partly explains the dialysis access conundrum. Add to this the rapidly developing and competing technologies, the wide spectrum of the professional experience, bias and socio-economic forces to make the ESRD problems as multivariate and complex as life itself. This overview describes a dialysis access algorithm approach to the patient needing renal replacement therapy, considering long-term improved patient outcome as the ultimate objective.

Original languageEnglish (US)
Pages (from-to)59-68
Number of pages10
JournalJournal of Vascular Access
Volume8
Issue number2
DOIs
StatePublished - 2007

Keywords

  • Algorithm
  • Dialysis access
  • Duples doppler ultrasonography
  • End stage renal disease
  • Hemodialysis
  • Peritoneal dialysis

ASJC Scopus subject areas

  • Surgery
  • Nephrology

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