What factors should be considered when planning for long-term renal replacement therapy in chronic kidney disease (CKD)?

Updated: Oct 26, 2020
  • Author: Pradeep Arora, MD; Chief Editor: Vecihi Batuman, MD, FASN  more...
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Answer

Consider the following:

  • Early patient education regarding natural disease progression, different dialytic modalities, renal transplantation, and the option to refuse or discontinue chronic dialysis

  • Timely placement of permanent vascular access (arrange for surgical creation of primary arteriovenous fistula, if possible, and preferably at least 6 mo in advance of the anticipated date of dialysis for patients in whom transplantation is not imminent)

  • Timely elective peritoneal dialysis catheter insertion

  • Timely referral for renal transplantation


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