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Hello, we are a group of medical students editing this page as part of a class assignment. We have compiled a list of suggestions to improve this article and would appreciate community feedback before we proceed with these edits. Here is a list of our suggestions:
We propose to insert the following content into the Kidney Failure#treatment section:
1) Prevention of Progression to ESRD
"A recent review of forty studies concluded that patients who received early referrals (one to six months before the start of dialysis) to a nephrology specialist displayed reduced mortality, better uptake of dialysis, and reduced hospitalization.[1] The authors highlighted the resulting importance of early referral in preventing progression into end-stage kidney disease."[1]
"Other methods of reducing a patient’s progression to ESRD include intravenous contrast and minimizing their exposure to nephrotoxins, such as NSAIDs. [2]
“In non-diabetics and individuals with type 1 diabetes, limited protein diet is found to have a preventative effect on progression to end stage renal failure. However, this effect does not apply to individuals with type 2 diabetes.” [3]
2) Dialysis
"Dialysis is currently used to extend the lives of hundreds of thousands of patients with ESRD. [4] AKI typically does not require dialysis except when there is pre-existing CKD.[5] Currently, there are no studies which have compared the outcomes of hemodialysis to peritoneal dialysis. However, based on reporting, both forms of dialysis appear to be equally effective. The choice of therapy may be selected based upon considerations of patient preference and quality of life. [4]"
3) Transplantation
"Kidney transplantation is a primary treatment option for advanced chronic kidney failure. [6] The 1-year survival rate for patients who receive a kidney from a living donor (living-donor graft) is 96%, while the 1-year survival rate for patients who receive a kidney from a deceased donor (deceased-donor graft) is 92%. [6]"
4) Treatment for AKI
“The treatment of AKI comprises varying possibilities, depending on individual cases, and includes diuretics, nutritional support, and dialysis. Overall, its primary goal is to hasten recovery and minimize complications and progression of the disease. [7]"
Thank you very much for your time and we appreciate any feedback or suggestions you may have! WikiTweeks11 (talk) 02:44, 8 November 2017 (UTC)
- ^ a b Smart, Neil A.; Dieberg, Gudrun; Ladhani, Maleeka; Titus, Thomas (2014-06-18). "Early referral to specialist nephrology services for preventing the progression to end-stage kidney disease". The Cochrane Database of Systematic Reviews (6): CD007333. doi:10.1002/14651858.CD007333.pub2. ISSN 1469-493X. PMID 24938824.
- ^ Dirkx, Tonja C.; Woodell, Tyler; Watnick, Suzanne (2017). Papadakis, Maxine A.; McPhee, Stephen J.; Rabow, Michael W. (eds.). Current Medical Diagnosis & Treatment 2018. New York, NY: McGraw-Hill Education.
- ^ Rughooputh, Mahesh Shumsher; Zeng, Rui; Yao, Ying (2015). "Protein Diet Restriction Slows Chronic Kidney Disease Progression in Non-Diabetic and in Type 1 Diabetic Patients, but Not in Type 2 Diabetic Patients: A Meta-Analysis of Randomized Controlled Trials Using Glomerular Filtration Rate as a Surrogate". PloS One. 10 (12): e0145505. doi:10.1371/journal.pone.0145505. ISSN 1932-6203. PMC 4692386. PMID 26710078.
{{cite journal}}: CS1 maint: PMC format (link) CS1 maint: unflagged free DOI (link) - ^ a b Liu, Kathleen D.; Chertow, Glenn M. (2015). Kasper, Dennis; Fauci, Anthony; Hauser, Stephen; Longo, Dan; Jameson, J. Larry; Loscalzo, Joseph (eds.). Harrison's Principles of Internal Medicine (19 ed.). New York, NY: McGraw-Hill Education.
- ^ Waikar, Sushrut S.; Bonventre, Joseph V. (2015). Kasper, Dennis; Fauci, Anthony; Hauser, Stephen; Longo, Dan; Jameson, J. Larry; Loscalzo, Joseph (eds.). Harrison's Principles of Internal Medicine (19 ed.). New York, NY: McGraw-Hill Education.
- ^ a b Azzi, Jamil; Milford, Edgar L.; Sayegh, Mohamed H.; Chandraker, Anil (2015). Kasper, Dennis; Fauci, Anthony; Hauser, Stephen; Longo, Dan; Jameson, J. Larry; Loscalzo, Joseph (eds.). Harrison's Principles of Internal Medicine (19 ed.). New York, NY: McGraw-Hill Education.
- ^ Dirkx, Tonja C.; Woodell, Tyler; Watnick, Suzanne (2017). Papadakis, Maxine A.; McPhee, Stephen J.; Rabow, Michael W. (eds.). Current Medical Diagnosis & Treatment 2018. New York, NY: McGraw-Hill Education.