When to Initiate Dialysis
Dialysis is recommended when the eGFR is ~5-10ml/min, or when the eGFR is less than 15 ml/min and the patient has one or more of the following: Symptoms or signs of uraemia Diuretic resistant fluid overload Poorly controlled blood pressure Evidence of malnutrition Refractory metabolic acidosis Note 1: There is no evidence that earlier initiation of dialysis improves outcome. The value of dialysis
Dialysis is recommended when the eGFR is ~5-10ml/min, or when the eGFR is less than 15 ml/min and the patient has one or more of the following:
- Symptoms or signs of uraemia
- Diuretic resistant fluid overload
- Poorly controlled blood pressure
- Evidence of malnutrition
- Refractory metabolic acidosis
Note 1:
There is no evidence that earlier initiation of dialysis improves outcome. The value of dialysis in the very elderly needs to be carefully evaluated.
Paget G, Naicker S, et al. Guideline for the optimal care of patients on chronic dialysis in South Africa. South African Renal Society; 2015.