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June 19, 1967


JAMA. 1967;200(12):27-42. doi:10.1001/jama.1967.03120250011003

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New Approach To Anuria  Diet accompanied by peritoneal dialysis at 3 to 4 week intervals is a hopeful new alternative for the anuric patient, a Johns Hopkins pediatrician believes.Normally, the patient who ceases to excrete urine faces only three avenues—chronic hemodialysis, renal transplantation, or death.Within the past two years, 12 persons with advanced renal failure have been placed on an experimental regimen with resultant control of their uremia, according to Sidney Levin, MD. Ages range from 10 to 40. Six patients were totally anuric at the start of treatment.

'Surprising Success'  "Frankly, we are quite surprised at the degree of success we're experiencing," Dr. Levin told JAMAMedical News. "People have written about the use of diet in renal disease since the 1930's. But the approach was never tried on the anuric patient."Two patients who did not adhere to the regimen died after 6 and 14