10 doctors weighed in:
What creatine level or GFR level makes dyalysis necessary?
10 doctors weighed in

Dr. Fred McCurdy
Pediatrics - Nephrology & Dialysis
5 doctors agree
In brief: Ten
It is generally accepted that a GFR of 10 or less or a serum creatinine level of 10 or higher to the point at which dialysis is started.
However, dialysis is started when all other therapies have or are failing and the only alternative left is dialysis. Why? Because dialysis is a huge life changer for anyone irrespective of age.

In brief: Ten
It is generally accepted that a GFR of 10 or less or a serum creatinine level of 10 or higher to the point at which dialysis is started.
However, dialysis is started when all other therapies have or are failing and the only alternative left is dialysis. Why? Because dialysis is a huge life changer for anyone irrespective of age.
Dr. Fred McCurdy
Dr. Fred McCurdy
Thank
Dr. Ryan Stanton
Emergency Medicine
2 doctors agree
In brief: Other labs
The BUN and creatinine are important to follow and indicators of kidney function, but dialysis is based more on other chemicals that build up with bad kidney function, especially potassium.
The buildup of waste products and electrolytes are what are more important and will determine when dialysis is necessary.

In brief: Other labs
The BUN and creatinine are important to follow and indicators of kidney function, but dialysis is based more on other chemicals that build up with bad kidney function, especially potassium.
The buildup of waste products and electrolytes are what are more important and will determine when dialysis is necessary.
Dr. Ryan Stanton
Dr. Ryan Stanton
Thank
Dr. Atul Singh
Internal Medicine - Nephrology & Dialysis
In brief: Timing of HD
GFR is not the only test that determines the timing of dialysis.
It is a combination of GFR and more important symptoms of kidney waste product build up that help the timing of dialysis. often patients can have a low GFR, say 12cc/min and not need dialysis. Your kidney doctor would look at combinations of issues and not just GFR or creatinine

In brief: Timing of HD
GFR is not the only test that determines the timing of dialysis.
It is a combination of GFR and more important symptoms of kidney waste product build up that help the timing of dialysis. often patients can have a low GFR, say 12cc/min and not need dialysis. Your kidney doctor would look at combinations of issues and not just GFR or creatinine
Dr. Atul Singh
Dr. Atul Singh
Thank
1 comment
Dr. Fred McCurdy
I agree with what Dr. Singh has stated in regards to taking a more total patient approach to the timing of dialysis. Setting absolutes is not how the decision to dialyze is made. There are numerous other factors to consider since dialysis is a very disruptive life change. It is a decision that requires very careful thought.
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