Can Timing Dialysis Improve the Kidney Functions for Kidney Failure Patients

When some kidney disease patients are diagnosed with the kidney failure, most of them are panic to do the dialysis. and they think the timely dialysis can improve their kidney functions. Is it true? Please read the following article carefully.
The past 15 years have seen tremendous growth in the initiation of dialysis at higher levels of kidney function in the setting of mixed evidence and at great societal economic cost. We review recent data on the early dialysis initiation trend, the clinical and economic impact of early dialysis initiation and the future implications for the management of advanced kidney failure.

Value in healthcare is defined as the quality of care relative to cost. Maintenance dialysis therapy is associated with substantial morbidity and expense, so it is not surprising that policy-makers are interested in finding value in the delivery of dialysis care. The timing of initiation of dialysis in patients with progressive kidney failure is one area that could be targeted to improve value. Over the past decade, there has been a trend towards initiation of dialysis at progressively higher levels of estimated glomerular filtration rate (eGFR), generally assumed to represent an intervention earlier in the course of kidney disease. The landmark Initiating Dialysis Early And Late (IDEAL) trial demonstrated that this practice did not improve patient outcomes and increased costs. This article critically reviews recent literature surrounding the timing of dialysis initiation and its implications for improving the value of dialysis care.


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