Prevention of Kidney Disease and Long-Term Survival

  • Morrell M. Avram

Table of contents

  1. Front Matter
    Pages i-xx
  2. Nutrition and Divalent Ion in Retarding Progression

    1. Front Matter
      Pages 1-2
    2. Joel D. Kopple, Charlotte E. Roberts, Gerald P. Grodstein, Gaurang M. Shah, Robert L. Winer, Warren D. Davidson et al.
      Pages 3-22
    3. Mackenzie Walser
      Pages 23-29
    4. Allen C. Alfrey, Robert C. Tomford
      Pages 31-38
  3. Glomerular Damage and Its Prevention

    1. Front Matter
      Pages 43-44
    2. Thomas H. Hostetter, Helmut G. Rennke, Barry M. Brenner
      Pages 45-54
  4. Genesis and Prevention of Diabetic Nephropathy

    1. Front Matter
      Pages 67-68
    2. Celia S. Levitz, Sondra R. Hirsch, Eli A. Friedman
      Pages 69-79
  5. Use and Misuse of Pharmacologic Agents in Kidney Disease

    1. Front Matter
      Pages 91-92
  6. New Insights into Complications of Uremia

  7. Uremia Therapy and the Long-Term Dialysis Patient

    1. Front Matter
      Pages 141-143
    2. Belding H. Scribner
      Pages 145-164
    3. Morrell M. Avram, Abe N. Pahilan, Amado Gan, Paul A. Fein, Paul A. Slater, Michael Iancu
      Pages 167-176
    4. Edward M. Abramowitz, Rao S. K. Musunuru, William J. Scarpa, Geri Mandel
      Pages 177-189
    5. Frank W. Dipillo, Harsh Gandhi
      Pages 191-198
    6. Joseph J. Ricca, George J. Rezk, Robert P. Yatto
      Pages 199-210
    7. Santosh B. Sureka, Mohamed H. Shahjahan, Morrell M. Avram, Seymour S. Cutler
      Pages 211-222
    8. Gilbert F. Gelfand, Harry Bienenstock, Morrell M. Avram, David Rosenblum
      Pages 223-246
    9. Nancy B. Cummings, Gladys H. Hirschman
      Pages 247-260
    10. Alvin I. Goodman, Stephen A. Weseley, Karim B. Solangi
      Pages 261-269
  8. The Transplantation Alternative

    1. Front Matter
      Pages 279-279
    2. Carl M. Kjellstrand, Richard L. Simmons
      Pages 281-289
    3. Khalid M. H. Butt, Abdul G. Arshad, Joon H. Hong, Lea Emmett, Ismail Parsa, Roland J. Adamsons et al.
      Pages 291-296
    4. Kurt H. Stenzel, A. L. Rubin, A. Novogrodsky
      Pages 297-304
  9. Back Matter
    Pages 305-324

About this book


Renal Failure Prevention and Treatment in the 19808 It appears logical to juxtapose in this volume prevention-low cost and nonmorbid-with uremia therapy, which is very morbid and very high cost. Treated uremic patients constitute an important, complex, and demanding group of survivors of a formerly universally fatal disease. Throughout the developed nations of the world, an increasing fraction of the health care budget is devoted to sustaining lives by dialytic therapy and renal transplantation. In the United States, for example, patients in renal failure comprise 0.2% of those eligible for support by Medicare, but consume 5.0% of the Medicare budget. Economic stresses in funding kidney patients have, in some countries such as Great Britain, forced a return to restrictive selection policies abhorrent to empathetic physicians. For third world residents, attention to nutrition, sanitation, and infections such as malaria must take a higher priority than costly uremia therapy. Thus the solution of one problem (retarding death from uremia) created several equally vexing other dilemmas (who should be treated and at what cost?). While sociologists, economists, and ethicists struggle with the new field of psychonephrology,1 a group of investigators and clinicians convened to examine medical aspects of long-surviving treated uremic patients. These proceedings represent the first American analyis of those unique patients who have lived for ten or more years beyond what would have formerly been certain death in uremia.


Malaria attention care death fat health health care infection infections kidney nutrition patients prevention stress transplantation

Editors and affiliations

  • Morrell M. Avram
    • 1
    • 2
    • 3
  1. 1.The Avram Center for Kidney Diseases, Division of NephrologyThe Long Island College HospitalBrooklynUSA
  2. 2.Department of MedicineDownstate Medical CenterBrooklynUSA
  3. 3.Brooklyn Kidney Center and Nephrology Foundation of BrooklynBrooklynUSA

Bibliographic information