Linked Life Data

11443758

Source:http://linkedlifedata.com/resource/pubmed/id/11443758

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12 Suppl
pubmed:dateCreated
2001-7-10
pubmed:abstractText
Data are needed to better determine the effect of initiation of dialysis on outcome. At present, it is unknown whether any of the previously reported improvements in survival "on" dialysis in patients who start "early" is solely due to lead time bias. Everyone involved with the care of ESRD patients must understand the concept of timely initiation, believe in it, and become fully educated about it. Incremental dialysis will require closer follow-up and proactive intervention. Protein restriction to prevent progression and timely initiation to prevent symptomatology are not mutually exclusive as noted by the MDRD experience. It is uncertain how much earlier the average ESRD patient would need to start dialysis. However, based on the MDRD experience, timely initiation of dialysis may likely only represent starting dialysis 4 to 5 mo sooner than the current approach to initiation in patients followed by nephrologists pre-ESRD. This "timely" initiation of dialysis would hopefully improve patient outcomes and in the long run be less costly. A multicentered, prospective, randomized trial is needed to better define the answers to these questions.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1046-6673
pubmed:author
pubmed:issnType
Print
pubmed:volume
9
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
S118-23
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
1998
pubmed:articleTitle
Clinical experience: how much earlier should patients really start renal replacement therapy?
pubmed:affiliation
Wake Forest University School of Medicine, Department of Internal Medicine/Nephrology, Winston-Salem, North Carolina, USA.
pubmed:publicationType
Journal Article