By Donald A. Molony M.D., Jonathan C. Craig
This publication covers the administration of all significant renal ailments from an evidence-based and patient-centred method. With contributions from top foreign specialists who've a true figuring out of evidence-based drugs it offers tips on remedy regimens to undertake for person sufferers which are such a lot strongly supported through the evidence.
The inclusion of the most recent observational and epidemiological facts, in addition to randomized managed trial facts guarantees that the e-book correctly displays the present country of proof to be had for nephrological perform. will probably be an invaluable relief to all clinicians, together with these taking good care of transplant and pediatric sufferers, because it covers the foremost scientific questions encountered through nephrologists.
This reference is a useful resource of evidence-based info distilled into tips for medical perform with a purpose to be welcomed via practitioners, trainees and linked health and wellbeing professionals.
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Sample text
Perlman RL, Finkelstein FO, Liu L, Roys E, Kiser M, Eisele G et al. Quality of life in chronic kidney disease (CKD): a cross-sectional analysis in the Renal Research Institute-CKD study. Am J Kidney Dis 2005; 45: 658–666. Sehgal AR, Grey SF, DeOreo PB, Whitehouse PJ. Prevalence, recognition, and implications of mental impairment among hemodialysis patients. Am J Kidney Dis 1997; 30: 41–49. Seliger SL, Siscovick DS, Stehman-Breen CO, Gillen DL, Fitzpatrick A, Bleyer A et al. Moderate renal impairment and risk of dementia among older adults: The Cardiovascular Health Cognition Study.
102 Pisoni RL, Young EW, Combe C, Leavey SF, Greenwood RN, Hecking E et al. Higher catheter use within facilities is associated with increased Chapter 1 Epidemiology of Chronic Kidney Disease mortality and hospitalization: results from the DOPPS. J Am Soc Nephrol 2005; 12: 299A. 103 US Renal Data System. Patient mortality and survival. Am J Kidney Dis 1995; 26(Suppl 2): S69–S84. 104 Evans RW, Manninen DL, Garrison LP, Hart LG, Blagg CR, Gutman RA et al. The quality of life of patients with end-stage renal disease.
However, survival of patients on dialysis is similar to survival of patients with serious malignancies, such as colon or prostate cancer [103]. A greater focus on modifiable practices may influence better outcomes. A recent study strongly suggested a causal relationship between practice and outcomes by showing that dialysis facilities that improved their compliance with guidelines for dialysis dose and anemia control had improvements in their patients’ survival during the same time period compared with those with little change in treatment, where outcomes did not improve [82].