Clinical Quality of the Patient at Onset of Dialysis Treatment

  • T. Alpikizler
  • Raymond M. Hakim
Part of the Developments in Nephrology book series (DINE, volume 39)


The mortality rate of treated ESRD patients remains high in United States (24% per year) [1]. The life-expectancy of treated ESRD patients is 20–25 years less than the normal age-sex-race matched U.S. population over the age of 45. Despite recent advances in our understanding of the uremic state and improvements in the science and technology of renal replacement therapy, the prognosis of this patient population remains poor. Moreover, the health care cost of treating the U.S. ESRD program exceed $8 billion annually.


Metabolic Acidosis ESRD Patient Clinical Quality Residual Renal Function Chronic Renal Failure Patient 
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© Kluwer Academic Publishers 1999

Authors and Affiliations

  • T. Alpikizler
  • Raymond M. Hakim

There are no affiliations available

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