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Critical Care
Published in: Critical Care 2/2013

01-04-2013 | Commentary

Renal replacement therapy: to treat, or not to treat, that is the question...

Authors: Michael Joannidis, Lui G Forni

Published in: Critical Care | Issue 2/2013

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Abstract

When to commence renal replacement therapy (RRT) in the critically ill remains an unresolved issue. The study by Thakar and colleagues sheds some light on current practice through an international survey, demonstrating physicians' inclination to start RRT earlier when the severity of disease is higher. However, Clec'h and co-workers investigated the effect of RRT on hospital survival by performing a propensity analysis on the large multicentre French OUTCOMEREA database. They demonstrate that RRT does not confer survival benefit, with a delay in initiation being proposed as a contributing factor.
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Metadata
Title
Renal replacement therapy: to treat, or not to treat, that is the question...
Authors
Michael Joannidis
Lui G Forni
Publication date
01-04-2013
Publisher
BioMed Central
Published in
Critical Care / Issue 2/2013
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc12535

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