How is the decision made to start dialysis?
The decision to start dialysis typically happens when you reach stage 5 chronic kidney disease, also called kidney failure or end-stage kidney disease (ESKD). At this stage, your kidneys can no longer filter waste and extra water effectively on their own.
Your nephrologist Show Full Answer
How is the decision made to start dialysis?
The decision to start dialysis typically happens when you reach stage 5 chronic kidney disease, also called kidney failure or end-stage kidney disease (ESKD). At this stage, your kidneys can no longer filter waste and extra water effectively on their own.
Your nephrologist determines this by checking your estimated glomerular filtration rate (eGFR) through blood tests. This shows how well your kidneys are filtering waste products, particularly creatinine buildup in your blood.
When your kidneys can't keep up with filtering waste, toxins, and excess water from your body, dialysis becomes necessary to prevent serious health complications. The treatment helps maintain your body's balance of fluids, minerals, and electrolytes.
You'll have two main dialysis options to consider:
* Hemodialysis - Blood is filtered through a machine at a dialysis center (typically 3 times weekly) or at home (3-7 times weekly)
* Peritoneal dialysis - A surgically placed tube allows cleansing fluid to filter your blood through your abdomen's lining at home
Your healthcare team will discuss which option might work best for your lifestyle and medical needs. While dialysis can support you for many years, it's important to know it manages symptoms but doesn't cure kidney disease or replace all kidney functions.
November 25, 2025
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