Publication at Second Faculty of Medicine |
2010
Abstract
In last decades, number of very old chronic renal failure patients dramatically increased. General organ demage does not allow kidney transplantation and very frequently also long-term dialysis treatment.
Recently, there were published studies with successful long-term conservative management on modified low - protein diet supplemented with keto amino acids. Athough, up to now, there are not randomized prospective studies, our results from the CEKAD study allow to continue on conservative management in metabolically stabilized seniors up to 6-12 ml/min of glomerular filtration rate.