[Effect of age, basic disease and treatment of kidney patients in the stage of compensated retention on prognosis in a chronic hemodialysis program].

In an examination of 82 patients with chronic haemodialysis the quality of the care at the stage of the compensating retention proved to be the most important factor determining the prognosis. The 6-year survival rate of patients undergoing for a long time dialysis in a dispensary of a renal centre was 82%, the number of those patients who were transferred to dialysis at the terminal stage of renal insufficiency was, however, only 28%. Particularly in patients older than 45 years the care in the preliminary state of the dialytic treatment increasingly gains importance. As cause for the favourable prognosis of patients with polycystic degeneration of the kidneys its better care at the stage of compensated retention is discussed. When the increase of the creatinine level is more than 350 mumol/l patients with renal insufficiency should be transferred to the dispensaire of a renal centre.