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RENAL REPLASMAN TEDAVİLERİ İÇİN HASTA SEÇİM KRİTERLERİ

CRITERIA OF PATIENT SELECTION FOR RENAL REPLACEMENT THERAPIES

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Abstract (2. Language): 
The criteria indicating the suitability of the end-stage renal disease patients for renal replacement therapy(RRT) are still controversial. However, patient selection is a very important factor determining survival on RRT. In addition, 2-4% of the national budget for healthy care are spent for these therapies in developed countries. Therefore, the determination of the admittance criteria for these therapies are important. If various reports about this issue are analysed, it may be suggested that serious uraemic symptoms and signs associated with impaired renal functions should be taken into account for patient selection to RRT.
Abstract (Original Language): 
Son dönem kronik böbrek yetmezliğinde renal replasman tedavisine(RRT) başlama kriterleri halen tartışmalıdır. Oysa hasta seçimi survivali etkileyen önemli faktörlerden birisidir. Ayrıca gelişmiş ülkelerde ulusal sağlık bütçesinin %2-4'ü bu tedavilere ayrılmaktadır. Bu nedenlerle RRT için hasta seçim kriterlerinin belirlenmesi önemlidir. Çeşitli araştırma raporları incelendiğinde RRT için hasta seçiminde azalmış renal fonksiyonla birlikte ciddi üremik semptom ve bulguların da göz önüne alınması gerektiği söylenebilir.
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