Orginal Publication Date
MCV/Q, Medical College of Virginia Quarterly
The successful application of chronic dialysis and/or renal transplantation to patients with chronic uremia has sometimes obscured the fact that significant progress has also been made in our understanding of other therapeutic approaches to chronic renal failure. These less dramatic advances are commonly labeled "conservative" in nature, yet they have contributed decisively to the welfare of many uremic patients by improving their sense of wellbeing and delaying their need for such types of therapy as regularly repetitive dialysis. I shall comment first on certain general principles of management and then review some of the scientific therapeutic maneuvers and concepts that comprise the main foundation for the so-called conservative management of chronic uremia. Although my remarks are directed primarily toward patients with progressive primary renal disease, they are of equal pertinence to patients with renal failure of several types or etiologies.
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VCU University Archives