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頁籤選單縮合
題名 | 慢性腎臟病病人接受透析的時機=Timing of Dialysis Initiation in End-Stage Renal Disease |
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作者 | 陳泰瑜; 林麗玫; | 書刊名 | 腎臟與透析 |
卷期 | 29:3 2017.09[民106.09] |
頁次 | 頁132-135 |
專輯 | 臨床指引回顧 |
分類號 | 415.74 |
關鍵詞 | 腎功能; 透析; 慢性腎臟病; 腎替代療法; Kidney function; Dialysis; Chronic kidney disease; Renal replacement therapy; |
語文 | 中文(Chinese) |
中文摘要 | 決定透析開始的最佳時機,因牽連各種不同的因素與層面,仍然存在不少爭議。這段時期,病人處於相當高的治療風險。目前最新研究顯示,提早透析的患者,以estimated glomerular filtration rate (eGFR)相對較高情況下開始透析,並無法延長壽命。這結果改變了各國和台灣對透析時機點的建議,亦即以臨床症狀為主,生化檢驗為輔。 |
英文摘要 | The optimal timing of initiation of maintenance dialysis in patients with end-stage renal disease remains in the domain of the art. This transition period is characterized by an exceptionally high risk for adverse patient outcomes. The latest research showed no significant difference in survival or other patient centered outcome for early initiation of dialysis based on estimated glomerular filtration rate (eGFR). These data have challenged the established guideline, including Taiwan's, of using eGFR as the primary guide for initiation of maintenance dialysis and the need for further research to optimized this critical time period. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。