Document Detail

The evolving ethics of infant dialysis.
MedLine Citation:
PMID:  23131864     Owner:  NLM     Status:  MEDLINE    
In this paper, we review ethical issues that arise when families and doctors face clinical decisions about renal replacement therapy for an infant with end-stage renal disease (ESRD). Over the last 20 years, many centers have begun to routinely offer renal replacement therapy. However, doctors and nurses both continue to view such therapy as optional, rather than mandatory. We speculate that the burdens of therapy on the family, and the uncertainties about satisfactory outcomes have led to a situation in which renal replacement therapy remains desirable, but non-obligatory. We discuss the reasons why this is likely to remain so, and the ways in which renal replacement therapy for infants with ESRD is similar to, or different from, other clinical situations in pediatrics. Finally, we propose a research agenda to answer questions that are crucial to making good ethical decisions about infant dialysis.
John D Lantos; Bradley A Warady
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Publication Detail:
Type:  Journal Article; Review     Date:  2012-11-07
Journal Detail:
Title:  Pediatric nephrology (Berlin, Germany)     Volume:  28     ISSN:  1432-198X     ISO Abbreviation:  Pediatr. Nephrol.     Publication Date:  2013 Oct 
Date Detail:
Created Date:  2013-08-26     Completed Date:  2014-03-21     Revised Date:  2014-10-14    
Medline Journal Info:
Nlm Unique ID:  8708728     Medline TA:  Pediatr Nephrol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1943-7     Citation Subset:  IM    
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MeSH Terms
Age Factors
Attitude of Health Personnel
Child Health Services / ethics*
Decision Support Techniques
Health Knowledge, Attitudes, Practice
Infant, Newborn
Kidney Failure, Chronic / diagnosis,  therapy*
Moral Obligations
Patient Selection / ethics*
Renal Dialysis / adverse effects,  ethics*
Risk Assessment
Risk Factors
Treatment Outcome
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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