AI Article Synopsis
- The rise of diabetes has led to more patients with end-stage kidney disease (ESKD), where kidney transplantation is ideal but limited by donor availability; thus, dialysis is commonly used.
- Optimal dialysis for diabetic ESKD patients is debated due to their unique challenges, including higher risks of infections, malnutrition, and fluctuating blood sugar levels.
- The article reviews nine key factors affecting treatment decisions (like survival rates and quality of life) to help clinicians choose the best dialysis method tailored to individual patient needs.
Article Abstract
The increasing prevalence of diabetes has led to a growing population of end-stage kidney disease (ESKD) patients with diabetes. Currently, kidney transplantation is the best treatment option for ESKD patients; however, it is limited by the lack of donors. Therefore, dialysis has become the standard treatment for ESKD patients. However, the optimal dialysis method for diabetic ESKD patients remains controversial. ESKD patients with diabetes often present with complex conditions and numerous complications. Furthermore, these patients face a high risk of infection and technical failure, are more susceptible to malnutrition, have difficulty establishing vascular access, and experience more frequent blood sugar fluctuations than the general population. Therefore, this article reviews nine critical aspects: Survival rate, glucose metabolism disorder, infectious complications, cardiovascular events, residual renal function, quality of life, economic benefits, malnutrition, and volume load. This study aims to assist clinicians in selecting individualized treatment methods by comparing the advantages and disadvantages of hemodialysis and peritoneal dialysis, thereby improving patients' quality of life and survival rates.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11372645 | PMC |
| http://dx.doi.org/10.4239/wjd.v15.i9.1862 | DOI Listing |
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