Early start of hemodialysis may be harmful.

  title={Early start of hemodialysis may be harmful.},
  author={Steven Jay Rosansky and Paul Eggers and Kirby L Jackson and Richard Glassock and W. Clark},
  journal={Archives of internal medicine},
  volume={171 5},
BACKGROUND A dramatic increase in the "early start" of dialysis with an estimated glomerular filtration rate (eGFR) at least 10 mL/min/1.73 m(2) has occurred in the United States since at least 1996. Several recent studies have reported a comorbidity-adjusted survival disadvantage of early start of dialysis. The current study examines a relatively "healthy" dialysis cohort to minimize confounding issues and determine whether early initiation of hemodialysis is associated with a survival benefit… CONTINUE READING


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