Dialytic therapy in the management of chronic renal failure

C. M. Comty, A. J. Collins

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


The imperfections of all forms of dialytic therapy leave the nephrologist with the responsibility of recommending to the patient the treatment(s) considered most suitable. This recommendation must take into account the patient's age, home (water supply, sewers, space), social background, occupation, family support, primary renal disease and other medical complications, distance from the medical center, and financial resources. Our impression is that for most medical centers, hemodialysis remains the gold standard for the treatment of end-stage rena; disease and that peritoneal dialysis, intermittent or continuous, is a useful adjunct that should be included in a comprehensive program for back-up care. Furthermore, it is not the type of treatment that will determine the patient's survival and morbidity but rather the risk factors present at the time of initiation of dialytic therapy.

Original languageEnglish (US)
Pages (from-to)399-425
Number of pages27
JournalMedical Clinics of North America
Issue number2
StatePublished - 1984


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