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NDT Advance Access originally published online on October 4, 2005
Nephrology Dialysis Transplantation 2005 20(12):2608-2610; doi:10.1093/ndt/gfi147
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© The Author [2005]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Editorial Comment

Is a major psychiatric illness a contraindication to chronic dialysis?

Osnat Klein, Ze'ev Korzets and Jacques Bernheim

Meir Hospital, Sapir Medical Center, Nephrology, Kfar-Saba, Israel

Correspondence and offprint requests to: Prof. Ze’ev Korzets, Meir Hospital, Sapir Medical Center, Nephrology, Kfar-Saba, Israel. Email: nephrol@clalit.org.il

Keywords: chronic dialysis; major psychiatric illness

The first 10% of the full text of this article appears below.

The use of an artificial kidney was first commenced in the mid 1940s for the treatment of acute renal failure. Only from the early 1960s were patients with end-stage renal disease (ESRD) accepted for chronic haemodialysis therapy. Initially, those accepted for chronic dialysis were, in general, in excellent medical condition (i.e. without any co-morbidities) apart from their renal failure. They, thus, tended to be young with no evidence of systemic disease. The advent of the external shunt followed by the native arterio-venous fistula in the late 1960s established haemodialysis as a feasible long-term maintenance therapy. However, financial considerations, lack of professional personnel and primitive technology resulted in limited availability of chronic dialysis. One of the major contraindications for acceptance to dialysis was age. In the early 1970s, the average age of dialysis patients was 30–35 years. Over the next three decades, the limitations of acceptance onto a chronic dialysis . . . [Full Text of this Article]


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