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Nephrology Dialysis Transplantation 2008 23(9):2716; doi:10.1093/ndt/gfn410
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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



Editorial Note

Norbert Lameire, (Editor-in-Chief), Jürgen Floege and David C. Wheeler, (Associate Editors)

Since two articles on a wearable haemodialysis device have recently appeared in two highly reputed journals [1,2], the editors of NDT thought that it would be appropriate to draw our readers’ attention to this important topic. We therefore asked one of the ‘elderly statesmen in dialysis’, emeritus nephrologist Stanley Shaldon, to write an editorial comment in which he and his co-author, Michael Lysaght, discuss some medical and technical aspects of this device and place the topic in a historical context.

The older readers of NDT may remember that the idea of a wearable dialysis machine has been around for more than 25 years, although its clinical application has never been successful. In the editorial comment, Dr Shaldon seriously criticizes some of the content of the above-mentioned articles in his well-known personal style that some readers may perceive to be provocative. For this reason, we felt it appropriate to ask the authors of the two papers to reply to this editorial. In our opinion, they clarified a number of issues raised by Drs Shaldon and Lysaght and we will leave our readers to draw their own conclusions in this debate. As always, comments from our readers are welcome.



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 References
 

  1. Davenport A, Gura V, Ronco C, et al. A wearable haemodialysis device for patients with end-stage renal failure: a pilot study. Lancet (2007) 370:2005–2010.[Medline]
  2. Gura V, Ronco C, Nalesso F, et al. A wearable haemofilter for continuous ambulatory ultrafiltration. Kidney Int (2008) 73:497–502.[CrossRef][Web of Science][Medline]

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This Article
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