title: The possibility of renal function recovery in chronic hemodialysis patients should not be overlooked: Single center experience.
abstract: Chronic hemodialysis is implemented when irreversible loss of kidney function occurs. Sometimes renal recovery is overlooked. From January 2005 to December 2014, we identified 28 patients hemodialyzed for more than 3 months who had renal replacement therapy discontinued. The group consisted of 17 (57.7%) males and 11 (42.3%) females. Patients were 18-87 years old. Time of hemodialysis ranged from 3 to 97 months. Of note, 14 (50%) patients were referred from local dialysis units for solution of vascular access problems. In 13 (46.2%) patients dialysis was abandoned within the first 6 months, in 5 (17.8%) patients between 6 and 12 months, and in 10 (35.7%) patients beyond 12 months. Estimated dialysis-free survival was 94.4% (SE 0.054) and 82% (SE 0.095) at 12 and 24 months, respectively. All physicians must be aware of possible kidney function improvement. In patients with preserved diuresis fall in periodical urea or creatinine measurements might be a sign of renal recovery.
authors.affiliation: Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Borowska 213, 50-556, Wroclaw, Poland.
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Letachowicz
authors.affiliation: Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Borowska 213, 50-556, Wroclaw, Poland.
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Madziarska
authors.affiliation: Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Borowska 213, 50-556, Wroclaw, Poland.
authors.forename: Waldemar
authors.initials: W
authors.lastname: Letachowicz
authors.affiliation: Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Borowska 213, 50-556, Wroclaw, Poland.
authors.forename: Magdalena
authors.initials: M
authors.lastname: Krajewska
authors.affiliation: Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Borowska 213, 50-556, Wroclaw, Poland.
authors.forename: Józef
authors.initials: J
authors.lastname: Penar
authors.affiliation: Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Borowska 213, 50-556, Wroclaw, Poland.
authors.forename: Mariusz
authors.initials: M
authors.lastname: Kusztal
authors.affiliation: Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Borowska 213, 50-556, Wroclaw, Poland.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Gołębiowski
authors.affiliation: Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Borowska 213, 50-556, Wroclaw, Poland.|Faculty of Dentistry, Wroclaw Medical University, Borowska 213, 50-556, Wroclaw, Poland.
authors.forename: Wacław
authors.initials: W
authors.lastname: Weyde
authors.affiliation: Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Borowska 213, 50-556, Wroclaw, Poland.
authors.forename: Marian
authors.initials: M
authors.lastname: Klinger
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007668:Kidney / Q000503:physiopathology*; D007676:Kidney Failure, Chronic / Q000628:therapy*; D007677:Kidney Function Tests / Q000379:methods*; D008297:Male; D008875:Middle Aged; D020127:Recovery of Function / Q000502:physiology*; D006435:Renal Dialysis / Q000379:methods*; D017582:Renal Replacement Therapy / Q000379:methods*; D055815:Young Adult
keywords: Acute kidney injury; chronic kidney disease; hemodialysis; outcome