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August 1967

Hemodialysis for Chronic Renal Failure: Clinical Observations

Author Affiliations

Brooklyn, NY

From the departments of medicine and surgery, State University of New York, Downstate Medical Center, and the Kings County Hospital Center, Brooklyn, NY.

Arch Intern Med. 1967;120(2):153-167. doi:10.1001/archinte.1967.00300020025002

REPETITIVE maintenance hemodialysis can be a satisfactory means of life prolongation and rehabilitation for selected patients with terminal, irreversible renal failure.1 This communication summarizes the experience of a program of intermittent maintenance hemodialysis for 21 patients treated for periods of one to 21 months, as of July 1966.

Methods  Patients were selected for maintenance hemodialysis by a committee composed of the authors. Selection criteria included (1) presence of terminal, irreversible renal failure of such severity that conservative management would not support life, (2) absence of other life-threatening diseases, (3) a sufficient degree of understanding and motivation on the part of the patient suggesting his ability to participate in continuing hemodialysis without forseeable ending. Twenty of the patients selected were residents of New York city, and one patient was referred from Israel. Approximately one third of the patients reviewed by the committee were rejected. The most frequent reason for rejection