Changing the terminology from kidney replacement therapy to kidney support therapy. Issue 4 (27th October 2020)

• Record Type: Journal Article
• Authors: Raina, Rupesh; Joshi, Hirva; Chakraborty, Ronith
• Is Part Of: Therapeutic apheresis and dialysis. Volume 25:Issue 4(2021)
• Page Start: 437
• Page End: 457
• Publication Date: 2020-10-27
• Subjects: acute kidney injury -- dialysis -- extracorporeal organ support -- kidney replacement therapy -- kidney support therapy; Hemapheresis -- Periodicals; Dialysis -- Periodicals; Blood Component Removal -- Periodicals; Renal Dialysis -- Periodicals; Hémaphérèse -- Périodiques; Dialyse -- Périodiques; Sang -- Collecte et conservation -- Périodiques; 616
• DOI: 10.1111/1744-9987.13584
• Languages: English
• ISSNs: 1744-9979

Abstract

Abstract: Kidney replacement therapy (KRT) is a common supportive treatment for renal dysfunction, especially acute kidney injury. However, critically ill or immunosuppressed patients with renal dysfunction often have dysfunction in other organs as well. To improve patient outcomes, clinicians began to initiate kidney replacement therapy in situations where nonrenal conditions may lead to acute kidney injury, such as septic shock, hematopoietic stem cell transplantation, veno‐occlusive renal disease, cardiopulmonary bypass, chemotherapy, tumor lysis syndrome, hyperammonemia, and various others. In this review, we discuss the use of various modes of kidney replacement therapy in treating renal and nonrenal complications to illustrate why kidney support therapy is a more appropriate terminology than kidney replacement therapy.