par Dratwa, Max
Référence Néphrologie & thérapeutique, 3, SUPPL. 4, page (233-237)
Publication Publié, 2007-12
Article révisé par les pairs
Résumé : Discussion of an exemplative case provides the opportunity to review the reasons for which peritoneal dialysis, as chosen by the vignette patient, should be started when a minimal level of glomerular filtration rate has been reached inasmuch as access problems could postpone the actual start of therapy. They mostly are the possibility of maintaining or improving residual renal function, alleviate or prevent uremic symptoms as well as hidden nutritional and cardiovascular consequences of progressive kidney failure. Given the present absence of randomised controlled trials, it is concluded that it seems reasonable to follow the recommendations proposed by American and European experts groups. © 2007 Elsevier Masson SAS. All rights reserved.