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Effects of a Knowledge-Translation Intervention on Early Dialysis Initiation: A Cluster Randomized Trial
Author(s) -
Navdeep Tangri,
Amit X. Garg,
Thomas W. Ferguson,
Stephanie N. Dixon,
Claudio Rigatto,
Selina Allu,
Elaine M. T. Chau,
Paul Komenda,
David Naimark,
Gihad Nesrallah,
Steven Soroka,
Monica Beaulieu,
Ahsan Alam,
S. Joseph Kim,
Manish M. Sood,
Braden Manns
Publication year - 2021
Publication title -
journal of the american society of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.451
H-Index - 279
eISSN - 1533-3450
pISSN - 1046-6673
DOI - 10.1681/asn.2020091254
Subject(s) - medicine , dialysis , randomized controlled trial , intervention (counseling) , clinical trial , hemodialysis , knowledge translation , intensive care medicine , physical therapy , pediatrics , nursing , horticulture , biology
The Initiating Dialysis Early and Late (IDEAL) trial, published in 2009, found no clinically measurable benefit with respect to risk of mortality or early complications with early dialysis initiation versus deferred dialysis start. After these findings, guidelines recommended an intent-to-defer approach to dialysis initiation, with the goal of deferring it until clinical symptoms arise.

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