UCL logo

UCL Discovery

UCL home » Library Services » Electronic resources » UCL Discovery

Assessment of dialysis adequacy: beyond urea kinetic measurements

Rees, L; (2019) Assessment of dialysis adequacy: beyond urea kinetic measurements. Pediatric Nephrology , 34 (1) pp. 61-69. 10.1007/s00467-018-3914-6. Green open access

[img]
Preview
Text
Rees VoR Rees2019_Article_AssessmentOfDialysisAdequacyBe.pdf - ["content_typename_Published version" not defined]

Download (497kB) | Preview

Abstract

Adequacy of dialysis is a term that has been used for many years based on measurement of small solute clearance using urea and creatinine. This has been shown in some but not all studies in adults to correlate with survival. However, small solute clearance is just one minor part of the effectiveness of dialysis and in fact 'optimum' dialysis, rather than 'adequate' dialysis is what most paediatric nephrologists would want for their patients. Additional ways to assess the success of dialysis in children would include dialysis access complications and longevity, preservation of residual kidney function, body composition, biochemical and haematological control, nutrition and growth, discomfort during the dialysis process and psychosocial adjustment including hospitalisation and school attendance. These criteria need to be balanced against a dialysis programme that has the least possible adverse effects on quality of life.

Type: Article
Title: Assessment of dialysis adequacy: beyond urea kinetic measurements
Location: Germany
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s00467-018-3914-6
Publisher version: https://doi.org/10.1007/s00467-018-3914-6
Language: English
Additional information: This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons. org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Keywords: Adequacy, Dialysis, Optimum dialysis
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > UCL GOS Institute of Child Health > ICH Development Bio and Cancer Prog
URI: http://discovery.ucl.ac.uk/id/eprint/10052250
Downloads since deposit
13Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item