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BOOK REVIEW
Year : 2013  |  Volume : 137  |  Issue : 4  |  Page : 819

Hemodialysis: New methods and future technology


Department of Nephrology Commonwealth Fellow UK (Manchester) All India Institute of Medical Sciences New Delhi 110 029, India

Date of Web Publication17-May-2013

Correspondence Address:
S K Agarwal
Department of Nephrology Commonwealth Fellow UK (Manchester) All India Institute of Medical Sciences New Delhi 110 029
India
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Source of Support: None, Conflict of Interest: None


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How to cite this article:
Agarwal S K. Hemodialysis: New methods and future technology. Indian J Med Res 2013;137:819

How to cite this URL:
Agarwal S K. Hemodialysis: New methods and future technology. Indian J Med Res [serial online] 2013 [cited 2020 Jun 3];137:819. Available from: http://www.ijmr.org.in/text.asp?2013/137/4/819/112063

Hemodialysis: New methods and future technology , C. Ronco, M.H. Rosner, editors (K. Karger, Basel, Switzerland) 2011. 281 pages.

ISBN 978-3-8055-9771-5

Developed world and developing countries have witnessed a rapid increase in patients of end stage kidney disease (ESKD) and need of renal replacement therapy (RRT) in the last few decades. The increased burden of renal replacement therapy is straining the health services not only in developing countries but also in developed world. In spite of renal transplantation being the best mode of therapy for majority of patients of ESKD, dialysis has remained and will remain unavoidable due to various reasons. Of the approximately 2.8 million people in the world with ESKD, 2.2 million are on dialysis; 1.92 on hemodialysis and 0.24 million on peritoneal dialysis. Thus, hemodialysis is the largest mode of therapy in the world today for patients of ESKD.

Thomas Graham, Professor of Chemistry at Anderson's University in Glasgow, coined the term dialysis in 1861. In 1913, Abel, Rowntree, Turner and colleagues constructed the first artificial kidney. However, even today simple standard of care hemodialysis itself has still remained not only costly but also not available in majority of areas in developing world, which constitute more than 90% patients of ESKD. Further, the dialysis has also not been able to maintain the patients as adequately as it was expected to do and has remained as "replacement" of some of the renal functions.

Ronco and Rosner have done a wonderful job of presenting advances and controversies related to hemodialysis in this book. The editors are authorities on the treatment and outcome of patients with ESKD by dialysis. The book begins with the most important and controversial issue of hemodialysis; initiation and frequency of hemodialysis and outcome of patients on hemodialysis. This overview is followed by chapters on cardiovascular issues, lipid disorders, divalent metabolism, aneamia and management and acute kidney injury. These chapters are basically issues related to chronic kidney disease and in fact looking of the title of the book; one does not expect these chapters to be included. Issues which are relevant to hemodialysis and well written are vascular access, fluid management, dialysis membrane evolution and wearable dialysis technology. The book is basically an outcome of the presentations made during three days 20th annual international Vicenza Course on Hemodialysis. The authors of various chapters are authorities on the respective issues of kidney disease and dialysis and the flow of content throughout the book is reasonably good, so that the reader can cover a large number of pages in a short time. The chapters also contain many up-to-date references. Tables and photographs are appropriately chosen to explain the crucial issues. It would have been better if colour, rather than black-and-white figures, had been included so as to make the book more attractive and to improve the clarity of the images.

Another concern is the title of this book which gives one the idea that the book is about hemodialysis methods and newer technology. However, on reading the table of contents, one finds that there are also chapters on issues related to chronic kidney diseases like cardiovascular disease, lipid disorder, divalent ion and aneamia management. The preference should have been given to changes related to hemodialysis and not only chronic kidney disease. On the other side, many core issues related to hemodialysis are missing from the book like water treatment, anticoagulation, comparison of various therapies and adequacy, etc.

In summary, the book will be very useful for trainees and practicing nephrologists and it will provide them with a concise review of major issues related to hemodialysis as well as some other burning topics on chronic kidney disease.




 

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