Dialysis Should Be Started When Absolutely Necessary, Not Early and Incrementally

To the Editor: The commentary by Obi and Kalantar– Zadeh and clinical paper by Chin et al. on incremental dialysis deserves further scrutiny. The first issue is which patients, if any, are “optimal” for the incremental dialysis approach? Patients who are dialyzed early, at an estimated glomerular filtration rate (EGFR) >10 ml/min per 1.73 m, may not have a… CONTINUE READING