Factors that lead to dialysis as the preferred treatment modality for patients with chronic kidney disease

Abstract

Purpose of reviewTo describe forces that lead to dialysis as the preferred treatment modality for patients with chronic kidney disease. Recent findingsAlthough chronic dialysis is life-saving and the only option available for many individuals, treatment of the underlying causes of kidney disease and transplantation may be preferable options for many patients. Factors that favor dialysis instead of treatment of underlying kidney disease or transplantation include lack of proper diagnosis, lack of proper treatment of underlying kidney disease, poor compliance, lack of consideration for transplantation, early initiation of dialysis therapy, and financial incentives. New developments that may reverse this trend include genetic panels that improve diagnosis of kidney disease, new methods of transplantation, and legislation that will encourage kidney transplantation.