title: Starting dialysis at eGFR >5 ml/min per1.73 m(2): are we barking up the wrong tree?
abstract: Although the goal glomerular filtration rate (GFR) for chronic dialysis initiation is currently above 5 ml/min per 1.73 m(2), there is no convincing evidence that patients will benefit from this approach. With close follow-up of advanced chronic kidney disease patients, aiming to start dialysis at an estimated GFR (eGFR) less than 5 ml/min per 1.73 m(2) may result in the avoidance of potentially unnecessary end-of-life dialysis and could result in significant dialysis-free time for a large segment of the world's future dialysis population.
authors.affiliation: Dorn Research Institute, Arnold School of Public Health, William Jennings Bryan Dorn Veterans Affairs Hospital, University of South Carolina, Columbia, South Carolina, USA.
authors.forename: Steven J
authors.initials: SJ
authors.lastname: Rosansky
authors.affiliation: Research Division, Research Compliance Department, Palmetto Health, Columbia, South Carolina, USA.
authors.forename: Martin W
authors.initials: MW
authors.lastname: Durkin
mesh_terms: D002391:Catchment Area, Health / Q000706:statistics & numerical data*; D061345:Early Medical Intervention; D005260:Female; D006801:Humans; D008297:Male; D006435:Renal Dialysis / Q000706:statistics & numerical data*; D051436:Renal Insufficiency, Chronic / Q000401:mortality* / Q000628:therapy*