A 70-year-old man with chronic kidney disease G4 (eGFR 22 mL/min/1.73 m²) and progressive uraemic symptoms is being followed by a nephrologist. Accord...

Question

A 70-year-old man with chronic kidney disease G4 (eGFR 22 mL/min/1.73 m²) and progressive uraemic symptoms is being followed by a nephrologist. According to the Canadian Society of Nephrology guideline, when is chronic dialysis typically initiated?

Accepted Answer

When eGFR falls below 10 mL/min/1.73 m² or earlier if there are refractory uraemic symptoms, fluid overload or hyperkalaemia

Answer

Immediately when eGFR is less than 30 mL/min/1.73 m² regardless of symptoms

Answer

Only when creatinine exceeds 600 µmol/L

Answer

When the patient requests dialysis regardless of medical status

Answer

At a fixed time after diagnosis of chronic kidney disease

ca-rcpsc-im MCQ (SBA): Timing of dialysis initiation

A 70-year-old man with chronic kidney disease G4 (eGFR 22 mL/min/1.73 m²) and progressive uraemic symptoms is being followed by a nephrologist. According to the Canadian Society of Nephrology guideline, when is chronic dialysis typically initiated?