Recent advances in treatment of haemodialysis

Author:

Burton James O.12,Corbett Richard W.3ORCID,Kalra Philip A.45,Vas Prashanth67,Yiu Vivian8,Chrysochou Constantina5,Kirmizis Dimitrios9ORCID

Affiliation:

1. Department of Cardiovascular Sciences, University of Leicester, Leicester LE1 7RH, UK

2. Department of Renal Medicine, University Hospitals of Leicester NHS Trust, Leicester LE1 5WW, UK

3. Hammersmith Hospital, Imperial College Healthcare NHS Trust, London W12 0HS, UK

4. University of Manchester, Manchester M13 9PL, UK

5. Department of Nephrology, Salford Royal Hospital NHS Foundation Trust, Salford M6 8HD, UK

6. King’s College Hospital, London SE5 9RS, UK

7. Institute of Diabetes, Endocrinology and Obesity, King’s Health Partners, London SE1 9RT, UK

8. Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK

9. Department of Nephrology, Colchester General Hospital, East Suffolk and North Essex NHS Foundation Trust, Colchester CO4 5JL, UK

Abstract

Haemodialysis remains the most widely used treatment for patients with end-stage renal disease. Despite the progress that has occurred in the treatment of end-stage renal disease over the last six decades, there has been a failure to translate this into the desired clinical benefits, with morbidity and mortality rates among patients on haemodialysis remaining unacceptably high. Recently, however, there have been expectations that the significant advances that took place over the last few years may result in improved outcomes. New medications for the treatment of anaemia and secondary hyperparathyroidism, as well as novel trends in the areas of iron therapy, diabetes management and physical exercise are among the most important advances which, taken together, are changing the standards of care for patients on haemodialysis. The latest advances, of relevance not only to specialists in Renal Medicine but also to general practitioners caring for these patients, are reviewed in this collaborative paper.

Publisher

SAGE Publications

Subject

General Medicine

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