2000
DOI: 10.1007/s004670000420
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Dialysis therapy for children with acute renal failure: survey results

Abstract: We surveyed 123 pediatric nephrologists to investigate the current dialytic management of acute renal failure (ARF) in children. Data collected from 92 responding physicians revealed that hemodialysis (HD), peritoneal dialysis (PD), and continuous renal replacement therapy (CRRT) are currently used as the primary means of acute renal replacement therapy in a nearly equal percentage of centers. The preferential use of CRRT appears to be increasing, while PD usage is decreasing except for the youngest infants an… Show more

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Cited by 175 publications
(91 citation statements)
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References 11 publications
(18 reference statements)
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“…Warady et al described a trend of shifting from acute PD in favor of hemodialysis in AKI (22). However, Kendirli et al reported that most of their patients underwent peritoneal dialysis (23).…”
Section: Discussionmentioning
confidence: 99%
“…Warady et al described a trend of shifting from acute PD in favor of hemodialysis in AKI (22). However, Kendirli et al reported that most of their patients underwent peritoneal dialysis (23).…”
Section: Discussionmentioning
confidence: 99%
“…59 Yet, among other pediatric patients with kidney failure, PD is employed less frequently in favor of hemo-based CRRT. 60 In some instances, the modality of choice is driven by practice guidelines based on patient and disease characteristics such as hemodynamic stability and other organ failures. 61 Furthermore, cost of therapy may be a significant driving force in the choice of modality.…”
Section: O N O T D I S T R I B U T Ementioning
confidence: 99%
“…This is in contrast to a survey from North America and Europe in which PD usage decreased dramatically in favor of CRRT, except as a treatment modality for young infants. In many centers, CRRT has become the modality of choice (73,75). Despite the technological advancement, refinement, and development of safety procedures for the CRRT machines, the application of this therapy in children remains expensive, complex, technologydependent and needs experienced specialized nursing personnel, rendering it rather difficult to introduce in areas with limited resources.…”
Section: Pediatric Guidelinesmentioning
confidence: 99%