title: [Management of color-Doppler imaging in dialysis patients].
abstract: In recent decades, the survival of dialysis patients has gradually increased thanks to the evolution of dialysis techniques and the availability of new drug therapies. These elements have led to an increased incidence of a series of dialysis-related diseases that might compromise the role of dialysis rehabilitation: vascular disease, skeletal muscle disease, infectious disease, cystic kidney disease and cancer. The nephrologist is therefore in charge of a patient group with complex characteristics including the presence of indwelling vascular and/or peritoneal catheters, conditions secondary to chronic renal failure (hyperparathyroidism, anemia, amyloid disease, etc.) and superimposed disorders due to old age (cardiac and respiratory failure, cancer, type 2 diabetes mellitus, etc.). Early clinical and organizational management of such patients is essential in a modern and ''economic'' vision of nephrology. The direct provision of ultrasound services by the nephrologist responds to these requirements. A minimum level of expertise in diagnostic ultrasonography of the urinary tract and dialysis access should be part of the nephrologist's cultural heritage, acquired through theoretical and practical training programs validated by scientific societies, especially for those who choose to specialize in these procedures and become experts in imaging or interventional ultrasonography.
authors.affiliation: U.O.C. Nefrologia, A.O. Universitaria, Ferrara, Italy.
authors.forename: Yuri
authors.initials: Y
authors.lastname: Battaglia
authors.forename: Antonio
authors.initials: A
authors.lastname: Granata
authors.forename: Pasquale
authors.initials: P
authors.lastname: Zamboli
authors.forename: Tiziano
authors.initials: T
authors.lastname: Lusenti
authors.forename: Luca
authors.initials: L
authors.lastname: Di Lullo
authors.forename: Fulvio
authors.initials: F
authors.lastname: Floccari
authors.forename: Franco
authors.initials: F
authors.lastname: Logias
authors.forename: Alessandro
authors.initials: A
authors.lastname: D'Amelio
authors.forename: Fulvio
authors.initials: F
authors.lastname: Fiorini
mesh_terms: D000367:Age Factors; D001424:Bacterial Infections / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000382:microbiology; D002318:Cardiovascular Diseases / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000209:etiology; D002404:Catheterization / Q000009:adverse effects; D002408:Catheters, Indwelling / Q000009:adverse effects; D015897:Comorbidity; D018450:Disease Progression; D042241:Early Diagnosis; D006801:Humans; D015994:Incidence; D007558:Italy / Q000453:epidemiology; D052177:Kidney Diseases, Cystic / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000209:etiology; D007676:Kidney Failure, Chronic / Q000000981:diagnostic imaging / Q000628:therapy; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging / Q000453:epidemiology; D009135:Muscular Diseases / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000209:etiology; D011237:Predictive Value of Tests; D006435:Renal Dialysis / Q000009:adverse effects / Q000379:methods; D012307:Risk Factors; D012680:Sensitivity and Specificity; D018615:Ultrasonography, Doppler, Color; D018084:Ultrasonography, Interventional / Q000379:methods; D014652:Vascular Diseases / Q000000981:diagnostic imaging