Initiation of dialysis.

  title={Initiation of dialysis.},
  author={Raymond M. Hakim and J Michael Lazarus},
  journal={Advances in nephrology from the Necker Hospital},
The decision to initiate dialysis in a patient with progressive renal disease often depends on the physician's assessment of the patient's subjective symptoms of uremia. There is an increasing need to identify objective criteria for such a decision. Recent evidence suggests that malnutrition at the initiation of dialysis is a strong predictor of subsequent increased relative risk of death on dialysis. In this context, the role of prescribed protein restriction as well as the influence of the… CONTINUE READING