Research progress on the timing of hemodialysis initiation in diabetic kidney disease
10.3760/cma.j.cn441217-20240719-00734
- VernacularTitle:糖尿病肾脏疾病血液透析时机的研究进展
- Author:
Bing SU
1
;
Hongli LIN
;
Jilin CHEN
Author Information
1. 鞍山市长大医院肾内科，鞍山 114007
- Publication Type:Journal Article
- Keywords:
Diabetic nephropathies;
Renal dialysis;
Time management;
Timing of hemodialysis
- From:
Chinese Journal of Nephrology
2025;41(9):708-712
- CountryChina
- Language:Chinese
-
Abstract:
Diabetic kidney disease (DKD) is one of most common microvascular complications of diabetes mellitus. A subset of patients with DKD may experience rapid disease progression, ultimately developing end-stage renal disease. The timing of hemodialysis initiation is a critical influencing factor of the survival outcomes in end-stage renal disease patients undergoing dialysis. However, a unified standard for the optimal timing of hemodialysis initiation in DKD patients is currently lacking, and the issue remains controversial in clinical practice. This article reviews research progress on the timing of hemodialysis in patients with DKD, covering aspects such as the current status of hemodialysis treatment, advances in research on hemodialysis timing, relevant guidelines, intentional delayed dialysis strategies, and evaluation criteria for dialysis timing to provide a reference for scientifically developing hemodialysis initiation plans and strategies in clinical practice.
