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Polycystic Kidney Disease& Kidney Cysts

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PKD & Kidney Cysts

Polycystic kidney disease (PKD) is a group of disorders that result from the formation and progressive enlargement of cysts in the kidneys without dysplasia, usually leading to renal failure.

Start Dialysis at What GFR (Glomerular Filtration Rate)

2014-08-31 02:34

Start Dialysis at What GFR (Glomerular Filtration Rate)A person with Stage 5 CKD has end stage renal disease (ESRD) with a GFR of 15 ml/min or less. At this advanced stage of kidney disease the kidneys have lost nearly all their ability to do their job effectively, and eventually dialysis or a kidney transplant is needed to live.

However, Glomerular Filtration Rate is not the only determined factor for dialysis. Kidney function, creatinine, and complications should also be considered.

The original guideline on when to start dialysis:

1. Dialysis should be instituted whenever the glomerular filtration rate (GFR) is lee than 15mL/min and there is one or more of the following: symptoms or signs of uremia, inability to control hydration status or blood pressure or a progressive deterioration in nutritional status. In any case, dialysis should be started before the GFR has fallen to 6mL/min, even if optimal pre-dialysis care has been provided and there are no symptoms.

2. High-risk patients e.g. diabetics may benefit from an earlier start.

3. To ensure that dialysis is started before the GFR is 6mL/min, clinics should aim to start at 8–10mL/min.

Will I get better once I am on dialysis?

It depends on what caused your Kidney Failure. Kidney Failure is divided into two general categories, acute and chronic. Acute Kidney Failure is often temporary. In Chronic Kidney Failure, the kidneys normally do not heal.

In Acute Kidney Failure, when kidneys stop functioning due to a sudden stress, kidney function may recover. But when the damage to your kidneys has been continuous and progressive over a number of years, as it is in Chronic Kidney Disease (CKD), then the kidneys usually do not get better. When CKD has progressed to End Stage Renal Disease (ESRD), it is considered irreversible.

What’s more, dialysis cannot solve the underlying problem because it cannot improve kidney function and always bring the patients some side effects. If you want any help, you can consult our doctor online.

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