Renal supportive and palliative care: position statement

摘要: Since the introduction of hemodialysis in management acute kidney injury 1940s and for chronic disease 1960s dialysis has become one most successful advances medical technology, with almost 11,000 patients currently receiving Australia 2500 New Zealand. Like all technologies, its place continues to evolve. For a time, was seen as treatment best delivered only younger without diabetes; today greatest uptake is over age 65 common cause needing diabetes. Along these extended criteria dialysis, that have evolved many years, come recognition older patient often considerable co-morbidity frailty, time spent on not always beneficial their overall prognosis considerably worse than counterparts. CARI guidelines recommend “an expectation survival an acceptable quality life” useful starting point recommending dialysis.