Chronic dialysis in children and adolescents: challenges and outcomes

被引：50

作者：

Rees, Lesley ^{[1
]}

Schaefer, Franz ^{[2
,3
]}

Schmitt, Claus Peter ^{[2
,3
]}

Shroff, Rukshana ^{[1
]}

Warady, Bradley A. ^{[4
]}

机构：

[1] Great Ormond St Hosp Children NHS Fdn Trust, Renal Off, London WC1N 3JH, England

[2] Heidelberg Univ, Div Pediat Nephrol, Heidelberg, Germany

[3] Heidelberg Univ, Ctr Pediat & Adolescent Med, Heidelberg, Germany

[4] Univ Missouri, Sch Med, Childrens Mercy Kansas City, Div Pediat Nephrol, Kansas City, MO 64108 USA

来源：

LANCET CHILD & ADOLESCENT HEALTH | 2017年 / 1卷 / 01期

关键词：

CHRONIC KIDNEY-DISEASE; RENAL REPLACEMENT THERAPY; CHRONIC PERITONEAL-DIALYSIS; QUALITY-OF-LIFE; VASCULAR CALCIFICATION; PEDIATRIC-PATIENTS; PHOSPHATE BINDERS; MORTALITY RISK; BONE; HEMODIALYSIS;

D O I：

10.1016/S2352-4642(17)30018-4

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Chronic dialysis is rarely required during childhood. Despite technical advances that have facilitated the treatment of even the youngest children, morbidity and mortality remain higher with chronic dialysis than after renal transplantation. The cost of equipment and skilled personnel to provide the service compromises the availability of such dialysis in parts of the world where financial resources are constrained. This Review describes the incidence and causes of end-stage kidney disease in children on long-term dialysis, and highlights management issues, including dialysis modality selection, complications, and patient outcome data.

引用

页码：68 / 77

页数：10

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