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Hemodialysis

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Pediatric Nephrology

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Abstract

Chronic dialysis, including both hemodialysis and peritoneal dialysis, is now technically feasible in children of all ages, including infants (1). In countries with active pediatric transplant programs, however, it is not used as the first choice of chronic renal replacement therapy, as most pediatric nephrologists would aim for pre-emptive transplants for their patients. There are exceptions to this, including the neonate, in whom a period of dialysis may be necessary until adequate size for transplant is reached, the child needing urgent treatment because of presentation in end-stage kidney disease, and children needing native nephrectomies, or other corrective surgery pre-transplant. This means that at any time, around 20% of the pediatric end-stage kidney disease population is being dialyzed (2, 3). Only a minority of children are able to escape a period of dialysis altogether, either while waiting for their first transplant or because of subsequent graft failure (4).

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Authors
  1. Lesley Rees
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Editors and Affiliations

  1. Medical College of Wisconsin, Wisconsin, USA

    Ellis Avner (Director, Children's Research Institute, CHHS, Associate Dean for Research, Professor of Pediatrics and Physiology) (Director, Children's Research Institute, CHHS, Associate Dean for Research, Professor of Pediatrics and Physiology)

  2. Harvard Medical School, Children's Hospital Boston, 300 Longwood Avenue, Boston, Massachusetts, 02115, USA

    William Harmon (Professor of Pediatrics, Director, Pediatric Nephrology) (Professor of Pediatrics, Director, Pediatric Nephrology)

  3. Service de Néphrologie Pédiatrique Centre de référence des Maladies Rénales Héréditaires de l'Enfant et de l'Adulte (MARHEA), Hôpital Necker‐Enfants Malades, 149, rue de Sèvres, 75743, Paris Cedex 15, France

    Patrick Niaudet

  4. Department of Pediatrics Wakayama Medical University, Wakayama Medical University Hospital, 641–8510811–1, Kimiidera, Wakayama City, Japan

    Norishige Yoshikawa (Professor and Chair Pediatrician‐in‐Chief) (Professor and Chair Pediatrician‐in‐Chief)

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© 2009 Springer-Verlag Berlin Heidelberg

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Rees, L. (2009). Hemodialysis. In: Avner, E., Harmon, W., Niaudet, P., Yoshikawa, N. (eds) Pediatric Nephrology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-76341-3_73

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  • DOI: https://doi.org/10.1007/978-3-540-76341-3_73

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-76327-7

  • Online ISBN: 978-3-540-76341-3

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