| [Hemodialysis in chronic kidney disease patients: present and perspectives]. | |
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MedLine Citation:
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PMID: 22335068 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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Hemodialysis is the most advanced form of artificial renal support. It ensures the survival of almost 2 million patients wordwide. Considerable progress has been made in recent years thanks to a better understanding of uremia, optimization of treatment modalities and more personalized treatment schedules. Increase of uremic toxins removal, improvement of hemodynamic tolerance of the sessions, reduction of proinflammatory reactions due to the bioincompatibility system are major advances that may explain the reduction of morbidity and mortality in dialysis patients. New technologies (nanotechnology, biotechnology, microelectronics) are now expected to introduce further progresses by miniaturizing devices and providing them with an "artificial intelligence" capable of interacting with the patient. The main obstacle remains ageing of uremic patients, increasing prevalence of comorbidities and shortage of social resources that are not conducive to innovation. By promoting a more physiological, longer and more effective hemodialysis performed at home with help of teledialysis monitoring that would probably be an interesting option to evaluate on a medico-economical point of view. |
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Authors:
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Bernard Canaud; Hélène Leray-Moragués; Leila Chenine-Koualef; Laure Patrier |
Publication Detail:
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Type: English Abstract; Journal Article |
Journal Detail:
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Title: La Revue du praticien Volume: 62 ISSN: 0035-2640 ISO Abbreviation: Rev Prat Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2012-02-16 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0404334 Medline TA: Rev Prat Country: France |
Other Details:
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Languages: fre Pagination: 53-61 Citation Subset: IM |
Affiliation:
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Service de néphrologie, dialyse et soins intensifs, hôpital Lapeyronie, CHRU de Montpellier, 34925 Montpellier Cedex 5. b-canaud@chu-montpellier.fr |
Vernacular Title:
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Hémodialyse chez les patients atteints d'insuffisance rénale chronique. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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