Indicações para início de diálise na doença renal crônica
Indications for dialysis initiation in chronic kidney disease
DOI:
https://doi.org/10.34117/bjdv8n10-063Keywords:
insuficiência renal crônica, indicações, diáliseAbstract
A decisão de iniciar a diálise é baseada na presença de sinais e sintomas relacionados à uremia, na taxa de filtração glomerular estimada (eGFR) e na taxa de declínio da eGFR. A decisão de quando iniciar a diálise permanece complexa, e há grande variabilidade no momento do início da diálise entre os pacientes. Isso ocorre porque os sintomas urêmicos geralmente são vagos e inespecíficos, e a perda da função renal é altamente variável e pode ocorrer rapidamente. As indicações absolutas para iniciar a diálise crônica incluem pericardite ou pleurite urêmica e encefalopatia urêmica progressiva. Os sinais e sintomas comuns que fornecem indicação para o início da diálise incluem declínio do estado nutricional, sobrecarga de volume persistente ou difícil de tratar, fadiga e mal-estar, comprometimento cognitivo leve e anormalidades laboratoriais refratárias, incluindo acidose, hipercalemia e hiperfosfatemia.
References
KDIGO 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Kidney Int Suppl 2013; 3:5.
Nesrallah GE, Mustafa RA, Clark WF, et al. Canadian Society of Nephrology 2014 clinical practice guideline for timing the initiation of chronic dialysis. CMAJ 2014; 186:112.
Tattersall J, Dekker F, Heimbürger O, et al. When to start dialysis: updated guidance following publication of the Initiating Dialysis Early and Late (IDEAL) study. Nephrol Dial Transplant 2011; 26:2082.
National Kidney Foundation. KDOQI Clinical Practice Guideline for Hemodialysis Adequacy: 2015 update. Am J Kidney Dis 2015; 66:884.
Kovesdy CP, Naseer A, Sumida K, et al. Abrupt Decline in Kidney Function Precipitating Initiation of Chronic Renal Replacement Therapy. Kidney Int Rep 2018; 3:602.
Hsu RK, Chai B, Roy JA, et al. Abrupt Decline in Kidney Function Before Initiating Hemodialysis and All-Cause Mortality: The Chronic Renal Insufficiency Cohort (CRIC) Study. Am J Kidney Dis 2016; 68:193.
Cooper BA, Branley P, Bulfone L, et al. A randomized, controlled trial of early versus late initiation of dialysis. N Engl J Med 2010; 363:609.
Pendse S, Singh A, Zawada E. Initiation of dialysis. In: Handbook of Dialysis, 4th ed., Daugirdas JT, Blake PG, Ing TS (Eds), Lippincott Williams & Wilkins, Philadelphia 2007.
K/DOQI Clinical Practice Guidelines for Peritoneal Dialysis Adequacy. Am J Kidney Dis 2006; 47(Suppl 4):S1.
Hemodialysis Adequacy 2006 Work Group. Clinical practice guidelines for hemodialysis adequacy, update 2006. Am J Kidney Dis 2006; 48 Suppl 1:S2.
Hakim RM, Lazarus JM. Initiation of dialysis. J Am Soc Nephrol 1995; 6:1319.
Ikizler TA, Greene JH, Wingard RL, et al. Spontaneous dietary protein intake during progression of chronic renal failure. J Am Soc Nephrol 1995; 6:1386.
Hakim RM, Lazarus JM. Biochemical parameters in chronic renal failure. Am J Kidney Dis 1988; 11:238.
Aguilera A, Codoceo R, Bajo MA, et al. Eating behavior disorders in uremia: a question of balance in appetite regulation. Semin Dial 2004; 17:44.
Bleyer AJ, Kidd K, Johnson E, et al. Quality of life in patients with autosomal dominant tubulointerstitial kidney disease . Clin Nephrol 2019; 92:302.
Lee MJ, Kim S, Park I, et al. Comparison of estimated glomerular filtration rate equations at the time of hemodialysis initiation. Kidney Res Clin Pract 2015; 34:207.
Ferguson TW, Garg AX, Sood MM, et al. Association Between the Publication of the Initiating Dialysis Early and Late Trial and the Timing of Dialysis Initiation in Canada. JAMA Intern Med 2019; 179:934.
