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End-Stage Renal Disease: Medical Management
Am Fam Physician. 2021 Nov 1;104(5):493-499.ABSTRACTEnd-stage renal disease (ESRD) is diagnosed when kidney function is no longer adequate for long-term survival without kidney transplantation or dialysis. Primary care clinicians should refer people at risk of ESRD to nephrology to optimize disease management. Kidney transplantation typically yields the best patient outcomes, although most patients are treated with dialysis. The decision to initiate dialysis is best made through shared decision-making. Because most patients with ESRD elect to receive hemodialysis, the preservation of peripheral veins is important for those...
Source: American Family Physician - November 16, 2021 Category: Primary Care Authors: Noah Wouk Source Type: research
