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Initiation And Incremental Dialysis

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edwinchowyw
edwinchowyw

Dr Wong KW Sabah Malaysia

Saúde e medicinaTecnologia
1 de 62
Initiation of dialysis and incremental dialysis Wong KW
Initiation of dialysis ,[object Object],[object Object],[object Object],[object Object]
Goals of dialysis ,[object Object],[object Object],[object Object],[object Object]
Complications That May Prompt Initiation of Kidney Replacement Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
When to initiate? ,[object Object],[object Object],[object Object]
When to initiate? ,[object Object],[object Object]
What did the European Nephrologists think? ,[object Object],[object Object],[object Object]
KDOQI Guidelines (opinion) ,[object Object],[object Object],[object Object],[object Object],[object Object]
KDOQI Guidelines (opinion) ,[object Object]
KDOQI - second update of the Clinical Practice Guidelines (CPGs) and Clinical Practice Recommendations (CPRs) ,[object Object],[object Object]
Nephrol Dial Transplant (2002) 17 [Suppl 7 ]: 7 -1 5 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Nephrol Dial Transplant (2002) 17 [Suppl 7 ]: 7 -1 5 ,[object Object],[object Object]
Nephrol Dial Transplant (2005) 20 [Suppl 9] ,[object Object],[object Object]
CARI Guidelines (September 2004) No recommendations possible based on Level I or II evidence ,[object Object],[object Object]
CARI Guidelines (September 2004) ,[object Object],[object Object]
CARI guidelines (September 2004) ,[object Object],[object Object]
Canadian guidelines ( J Am Soc Nephrol 10: S287 -S 321, 1999) ,[object Object],[object Object],[object Object]
Malaysian CPG ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Postulate and practice ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is the evidence? ,[object Object],[object Object],[object Object]
Nutrition and renal failure ,[object Object],[object Object]
Nutrition and residual renal function ,[object Object],[object Object],[object Object],[object Object]
Nutrition and RRF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nutrition ,[object Object],[object Object],[object Object],[object Object]
Malnutrition at initiation of dialysis
Malnutrition at initiation of dialysis
Malnutrition at initiation of dialysis ,[object Object],[object Object]
Early initiation - believers ,[object Object]
Early initiation - believers
 
Bonomini et al, 1985 ,[object Object],[object Object]
Early initiation - believers ,[object Object],[object Object],[object Object]
Early initiation - believers ,[object Object],[object Object],[object Object]
Early initiation - believers ,[object Object],[object Object],[object Object],[object Object]
Early initiation - believers ,[object Object],[object Object],[object Object]
Early initiation ,[object Object],[object Object],[object Object]
Early initiation - skeptics - lead time bias ,[object Object]
Early initiation - skeptics - lead time bias ,[object Object],[object Object],[object Object],[object Object],[object Object]
Early initiation - skeptics - QOL ,[object Object],[object Object]
Early initiation does not prolong survival? ,[object Object],[object Object],[object Object],[object Object]
Early initiation does not prolong survival? ,[object Object],[object Object],[object Object],[object Object]
Early initiation of dialysis increases risk of mortality? ,[object Object],[object Object],[object Object],[object Object],[object Object]
The problem of measuring residual renal function(RRF) ,[object Object],[object Object],[object Object],[object Object],[object Object]
The problem of measuring residual renal function(RRF) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Definite answer? IDEAL TRIAL ,[object Object]
Incremental dialysis? ,[object Object],[object Object]
Incremental dialysis ,[object Object],[object Object],[object Object],[object Object]
Should We Treat Patients with Incremental Dialysis Prescriptions? ,[object Object]
Incremental dialysis - Bonomini et al ,[object Object],[object Object],[object Object],[object Object]
Incremental dialysis - Williams et al ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Incremental dialysis - Devecchi et al ,[object Object],[object Object],[object Object]
Incremental dialysis - Foggensteiner et al ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Incremental dialysis - Keshaviah et al ,[object Object],[object Object],[object Object]
The Wake Forest Experience - Burkart et al ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Incremental dialysis ,[object Object],[object Object]
Some Considerations for Incremental Dialysis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Potential Obstacles ,[object Object],[object Object],[object Object],[object Object]
Risk of incremental dialysis? ,[object Object],[object Object],[object Object],[object Object]
Incremental dialysis advantages and disadvantages ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Alternative to early start of dialysis? ,[object Object],[object Object],[object Object],[object Object]
Can renal replacement be deferred by a supplemented very low-protein diet? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Finally, ,[object Object]

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