Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/17957
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dc.contributor.authorKong, Jessica H-
dc.contributor.authorDavies, Matthew-
dc.contributor.authorMount, Peter F-
dc.date2018-06-19-
dc.date.accessioned2018-06-21T05:44:26Z-
dc.date.available2018-06-21T05:44:26Z-
dc.date.issued2018-12-
dc.identifier.citationNephrology 2018; 23(12): 1073-1080en_US
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/17957-
dc.description.abstractIn contrast to peritoneal dialysis, residual kidney function is commonly disregarded for haemodialysis patients, and not regularly monitored or taken into account in routine clinical care. This is despite evidence that higher levels of residual kidney function in haemodialysis patients associate with better outcomes including survival, total solute clearance, nutrition, inflammation, and fluid balance. This review aims to summarise the clinical effects of residual kidney function specifically in haemodialysis patients. Some level of residual kidney function is present in over 80% of patients at the time of dialysis initiation, and while this declines over time, up to 30% of patients on haemodialysis for 5 years still have a measurable level of native kidney function. There is little evidence on how best to preserve residual kidney function in haemodialysis patients, although it has been observed that intensive haemodialysis regimens in incident haemodialysis patients appear to accelerate residual kidney function decline. Residual kidney function is not commonly factored in to haemodialysis prescription and measures of adequacy, despite the fact that some guidelines such as KDOQI and European Best Practice Guidelines suggest that it is reasonable to do. This likely relates, at least in part, to perceived concerns regarding the inconvenience of timed urine collections, and to the complexity and lack of consensus regarding the methods for integrating the intermittent clearance of haemodialysis with the continuous clearance of native renal function. Further research is required into how best to maintain and maximise the benefits of residual kidney function in haemodialysis patients. This article is protected by copyright. All rights reserved.en_US
dc.language.isoeng-
dc.subjectend stage renal failureen_US
dc.subjecthaemodialysisen_US
dc.subjectincremental haemodialysisen_US
dc.subjectresidual kidney functionen_US
dc.titleThe Importance of Residual Kidney Function in Haemodialysis Patients.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleNephrologyen_US
dc.identifier.affiliationNephrologyen_US
dc.identifier.affiliationGeneral Medicineen_US
dc.identifier.affiliationInstitute for Breathing and Sleepen_US
dc.identifier.doi10.1111/nep.13427en_US
dc.type.contentTexten_US
dc.identifier.orcid0000-0001-7637-3661en_US
dc.identifier.orcid0000-0001-8780-034Xen_US
dc.identifier.pubmedid29920874-
dc.type.austinJournal Article-
dc.type.austinReview-
local.name.researcherMount, Peter F
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptNephrology-
crisitem.author.deptInstitute for Breathing and Sleep-
crisitem.author.deptMedicine (University of Melbourne)-
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