If you are not sure whether to choose haemodialysis or peritoneal dialysis, this article may be able to help you Let’s start with some basics. Whats is dialysis? Dialysis is an artificial method of filtering the blood to remove toxins, excess salts and water – in other words, the normal role of the kidneys. There […]
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Progression of CKD and when doctors get concerned Stage 4 CKD (with a GFR under 30 ml/min) – is when doctors get concerned about CKD. But it is not as simple as that (see later) [“is it ever?!” CKDEx Ed]. Let’s go through the 5 stages, and discuss more about when they get concerned. CKD Stages
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Pros and cons of dialysis vs a kidney transplant In advanced CKD (CKD5; kidney failure) there are three options: dialysis, kidney transplantation, or supportive care (not having either). In this article we will describe the pros and cons of dialysis or a kidney transplant. It would seen obvious that a kidney transplant is ‘better’ than
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How many people are on dialysis in UK? About 30,000. This is out of approximately 70,000 patients with ESRF in the UK (and 8000 new patients per year). Of those, about 40,000 (55%) are transplanted. But 30,000 (45%) are not, and dependent on (1) thrice weekly 4 hour (usually) sessions of hemodialysis, or (2) peritoneal
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How much does dialysis cost in the UK? A lot. About £20,000 per person per year. Dialysis is a high-cost treatment, with the NHS spending over £600 million per year (£20,000 x 30,000 patients) on dialysis in the UK (over 0.25% of the NHS budget on a rare disease). With the growth in CKD and
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How does the glomerulus work? A glomerulus is a tiny filter in the kidney. There are a million in each kidney. In other words the kidney is not one big filter, it is a million tiny ones. The first step in making urine is to separate the liquid part of your blood (plasma), which contains
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Dialysis is an artificial method of filtering the blood to remove toxins, excess salts and water – in other words, the normal role of the kidneys. There are two types: peritoneal dialysis (PD) and haemodialysis (HD). This article discusses peritoneal dialysis and how it works. What is peritoneal dialysis and how does it work? Peritoneal
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History of peritoneal dialysis (PD) In this article we will describe the history of peritoneal dialysis (PD). Prehistory The term ‘peritoneum’ derives from the Greek peritonaion, meaning to ‘stretch around’ (see below). The first known recorded reference of the peritoneal cavity appears in the Ebers papyrus in 1550 BC. It is believed to have been copied from earlier
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Yuri Yurijevich Voronoy and team, Kherson, Ukraine (1933) – see below Early history Transplantation is not new. In 4-5th Century BC, the Indian physician Sushruta and his medical students developed plastic surgical transplants for reconstructing noses, earlobes etc; these were amputated as religious, criminal, or military punishment. This was published in Sushruta samhita (ca.
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History of nephrology and renal transplantation timeline This article is a historical timeline of nephrology and renal transplantation. It will largely focus on nephrology. Ebers Papyrus (1550 BC). Hieroglyphic inscriptions representing the various Egyptian terms for urine. So. How did it all start? Interestingly, ‘nephrology’ was not a recognised branch of medicine until the early
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