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A Review of the Clinical Evaluation of Dialysis

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Economic and Medical Evaluation of Health Care Technologies
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Abstract

In comparing the effectiveness and cost of different types of kidney replacement therapies, one must bear in mind the complexity of human kidney function. It consists not only of elimination and regulation of water, salts (electrolytes), acids, and metabolic end products, but also of hormone production and metabolism of many substances, hormones, and vitamins. Any form of dialysis can replace only the elimination function and even this in a very restricted manner. The main kidney functions are as follows:

  • Regulation of water balance

  • Regulation of electrolyte balance

  • Regulation of acid-base balance

  • Elimination of waste products

  • Production of hormones

  • Activation of vitamin D3

  • Metabolism of hormones and other substances

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© 1983 Springer-Verlag Berlin Heidelberg

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Colombi, A. (1983). A Review of the Clinical Evaluation of Dialysis. In: Culyer, A.J., Horisberger, B. (eds) Economic and Medical Evaluation of Health Care Technologies. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-69439-4_7

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  • DOI: https://doi.org/10.1007/978-3-642-69439-4_7

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-69441-7

  • Online ISBN: 978-3-642-69439-4

  • eBook Packages: Springer Book Archive

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