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Adv Chronic Kidney Dis. 2017 Nov;24(6):388-397. doi: 10.1053/j.ackd.2017.09.008.

Care of the Pediatric Patient on Chronic Dialysis.

Author information

1
Division of Nephrology, Department of Pediatrics, Duke University School of Medicine, Duke Children's Hospital, Durham, NC and Division of Nephrology, Dialysis and Transplantation, University of Missouri-Kansas City School of Medicine; Division of Nephrology, Children's Mercy Kansas City, Kansas City, MO. Electronic address: Annabelle.Chua@duke.edu.
2
Division of Nephrology, Department of Pediatrics, Duke University School of Medicine, Duke Children's Hospital, Durham, NC and Division of Nephrology, Dialysis and Transplantation, University of Missouri-Kansas City School of Medicine; Division of Nephrology, Children's Mercy Kansas City, Kansas City, MO.

Abstract

Optimal care of the pediatric end-stage renal disease (ESRD) patient on chronic dialysis is complex and requires multidisciplinary care as well as patient/caregiver involvement. The dialysis team, along with the family and patient, should all play a role in choosing the dialysis modality which best meets the patient's needs, taking into account special considerations and management issues that may be particularly pertinent to children who receive peritoneal dialysis or hemodialysis. Meticulous attention to dialysis adequacy in terms of solute and fluid removal, as well as to a variety of clinical manifestations of ESRD, including anemia, growth and nutrition, chronic kidney disease-mineral bone disorder, cardiovascular health, and neurocognitive development, is essential. This review highlights current recommendations and advances in the care of children on dialysis with a particular focus on preventive measures to minimize ESRD-associated morbidity and mortality. Advances in dialysis care and prevention of complications related to ESRD and dialysis have led to better survival for pediatric patients on dialysis.

KEYWORDS:

Adolescents; Children; Dialysis; End-stage renal disease; Infants

PMID:
29229170
DOI:
10.1053/j.ackd.2017.09.008
[Indexed for MEDLINE]

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