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April 5, 1976

Clinical Management of Chronic Renal Failure

Author Affiliations

Springfield, Mass

JAMA. 1976;235(14):1504. doi:10.1001/jama.1976.03260400062043

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


This brief book, covering conservative management, dialysis, and transplantation, is intended primarily for physicians training in nephrology, but also for anyone treating a uremic patient.

The first chapter, on conservative management, emphasizes treatable causes and complications of uremia. This section is so brief that it does little more than list the reversible causes. A physician treating azotemic patients must go to a more comprehensive source to get much help in diagnosis and management. The section on peritoneal dialysis is not quite adequate to serve as a guide to performing this procedure. With a little more detail on cannula insertion and draining problems, it would have been much more useful. It does cover the value of peritoneal dialysis in chronic uremia well. The main section of the book is two chapters on hemodialysis and complications in dialysis patients. This can be a useful introduction to hemodialysis for a physician entering this