NDT Advance Access originally published online on March 6, 2008
Nephrology Dialysis Transplantation 2008 23(7):2123-2126; doi:10.1093/ndt/gfn096
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© The Author [2008]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org
The impact of residual renal function on survival
Division of Nephrology, Hospital Straubing, Germany
Correspondence and offprint requests to: Marianne Haag-Weber, Klinikum Straubing, St Elisabeth-Str. 23, D-94315 Straubing, Germany. Tel: +49-9421-782633; Fax: +49-9421-782646; E-mail: marianne.haag-weber@kfh-dialyse.de
Keywords: haemodialysis; mortality; peritoneal dialysis; residual renal function
| The first 150 words of the full text of this article appear below. |
Dialysis patients have 10–20 higher mortality rates compared to controls. Factors discussed to influence mortality in dialysis patients are hypertension, left ventricular hypertrophy (LVH), increased pulse pressure, phosphorus, calcification, inflammation, malnutrition, fluid and sodium balance, interdialytic weight gain, removal of middle molecule uraemic toxins and residual renal function (RRF) [1]. LVH and hypertension are frequent findings in dialysis patients and the presence of LVH has been confirmed to be an important independent determinant of survival in dialysis patients [2]. One main goal is therefore to prevent LVH and control hypertension. Whereas the role of RRF for survival is well recognized in the peritoneal dialysis population, RRF is not currently emphasized in haemodialysis (HD) patients [3,4]. At the moment there exist two strategies for HD patients: (1) control of hypertension mainly by volume control with no or few antihypertensive drugs at the expense of early
| Residual renal function and uraemic toxicity profile |
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| Residual renal function in relation to volume state/hypertension and cardiac hypertrophy |
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| Residual renal function and survival |
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| How to control hypertension in dialysis patients |
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| Conclusion |
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