DIALYSIS Can plasma creatinine levels guide initiation of dialysis?

被引：5
|
作者：
Krediet, Raymond T. [1 ]
Dekker, Friedo W. [2 ]
机构：
[1] Acad Med Ctr, Div Nephrol, Dept Med, NL-1100 DE Amsterdam, Netherlands
[2] Leiden Univ, Med Ctr, Dept Clin Epidemiol, NL-2300 RC Leiden, Netherlands
来源：
NATURE REVIEWS NEPHROLOGY | 2010年 / 6卷 / 10期
关键词：
GLOMERULAR-FILTRATION-RATE; SERUM CREATININE; RENAL-FAILURE; SURVIVAL; COMORBIDITY; PREDICTION; START; STAGE;
D O I：
10.1038/nrneph.2010.109
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
The results of a large observational study seem to confirm an association between early initiation of dialysis and increased mortality that is not fully explained by the presence of comorbidities and other confounding variables. However, this paradoxical association may be an artifact resulting from the inaccuracy of using plasma creatinine levels to estimate glomerular filtration rates in patients with severely impaired renal function.
引用
收藏
页码：563 / 564
页数：2
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