Principles of renal replacement therapies - haemodialysis and peritoneal dialysis
What dialysis does and does not replace
- Dialysis replaces solute clearance and volume control only
- It does NOT replace erythropoietin, 1-alpha-hydroxylation, or the endocrine and metabolic functions - hence the persisting anaemia and CKD-MBD
- Native GFR of a well-dialysed patient is equivalent to ~10-15 mL/min - dialysis is a poor kidney
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