Assessing the adequacy of dialysis

JJ COHEN, JT HARRINGTON, JP KASSIRER… - Kidney international, 1990 - Elsevier
JJ COHEN, JT HARRINGTON, JP KASSIRER, NE MADIAS
Kidney international, 1990Elsevier
Discussion D. RAYMOND M. HAKIM (Director, Clinical Services, Divi-sion of Nephrology,
and Associate Professor of Medicine, Vanderbilt Hospital, Nashville, Tennessee):
Nephrologists who care for patients undergoing chronic dialysis are often asked by patients
to reduce their dialysis time or frequency. The recent availability of" high-flux" and" high-
efficiency" dialyzers has made it possible to reduce the time of dialysis to considerably less
than that only a decade ago. Economic issues also have contributed to the trend toward …
Discussion
D. RAYMOND M. HAKIM (Director, Clinical Services, Divi-sion of Nephrology, and Associate Professor of Medicine, Vanderbilt Hospital, Nashville, Tennessee): Nephrologists who care for patients undergoing chronic dialysis are often asked by patients to reduce their dialysis time or frequency. The recent availability of" high-flux" and" high-efficiency" dialyzers has made it possible to reduce the time of dialysis to considerably less than that only a decade ago. Economic issues also have contributed to the trend toward shorter dialysis. Unless enough attention is paid to criteria that determine the adequacy of
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