Beyond the Technical: Determining Real Indications for Vascular Access and Hemodialysis Initiation in End-Stage Renal Disease.

Beyond the Technical: Determining Real Indications for Vascular Access and Hemodialysis Initiation in End-Stage Renal Disease. Surg Clin North Am. 2019 Oct;99(5):967-975 Authors: Ketteler ER Abstract Determining valid indications for vascular access creation and hemodialysis initiation in end-stage renal disease requires utilization of verified prognostication tools and recognition of triggers to initiate serious conversations, and implementation of concurrent palliative care and/or hospice care is recommended. Establishment of a multi-disciplinary team that includes consideration of interventionalists in the pre-dialysis medical situation is important. A "catheter best" approach may be the most appropriate for some patients to meet goals of care. PMID: 31446921 [PubMed - in process]
Source: The Surgical Clinics of North America - Category: Surgery Authors: Tags: Surg Clin North Am Source Type: research