Hi, I wanted to know if dialysis is provided only for end stage kidney failure or it is also prescribed at earlier stage of kidney failure?

Dr. Amit SakariaGeneral Physician20yrs exp

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Hello lybrate-user, Dialysis is also Known as Renal Replacement Therapy. There are many formulas used to calculate eGFR based on which the Staging is done. One such easy to use formula is Weight In Kg X (140-Age in Years) divided by Serum Creatinine X 72 (If its a woman Multiply the answer with 0.85) Grading is as- Kidney damage with normal or eGFR >90 mL/min 2 Kidney damage with mild eGFR 60 to 89 mL/min 3 Moderate eGFR 30 to 59 mL/min 4 Severe eGFR 15 to 29 mL/min 5 Kidney failure eGFR <15 mL/min, or patient on dialysis Now as per the 2005 European Guidelines- 1. Dialysis should be initiated when GFR is <15 with one or more signs/symptoms of Uremia. Before GFR has fallen to 6 mL/min irrespective of symptoms. If the patient would have been a diabetic patients then they may get the benefit from an earlier start, hence your doctor would have advised an early Dialysis. Alternate Options to Hemodialysis (HD) would be Peritoneal Dialysis (PD) and Kidney Transplant. Choosing between HD and PD- Continuous ambulatory peritoneal dialysis (CAPD) is preferred in young children, elderly patients in whom vascular access is not available and are haemodynamically unstable. If the patient has some residual kidney functions then you can start him on CAPD and later he can be shifted to Hemodiallysis once he becomes anuric (means urine output is less than 100 ml/24 hours) 

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Dr. B.M LavaGeneral Physician37yrs exp

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For both. 

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