Chronic dialysis in children and adolescents: challenges and outcomes.
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 30169229.
- Also identified by DOI 10.1016/S2352-4642(17)30018-4.
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Abstract
Chronic dialysis is rarely required during childhood. Despite technical advances that have facilitated the treatment of even the youngest children, morbidity and mortality remain higher with chronic dialysis than after renal transplantation. The cost of equipment and skilled personnel to provide the service compromises the availability of such dialysis in parts of the world where financial resources are constrained. This Review describes the incidence and causes of end-stage kidney disease in children on long-term dialysis, and highlights management issues, including dialysis modality selection, complications, and patient outcome data.