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Treatment of end stage renal disease (ESRD) by dialysis or renal transplantation has been available for 20 years. This article considers four issues in the management of ESRD services in the UK. First, there remains inadequate evidence on which treatment is best for which patient. Second, the recent increase in continuous ambulatory peritoneal dialysis may not be a cost-effective choice. Third, both dialysis and transplant centres appear to have substantial opportunities to improve efficiency. Last, the present level of treatment in the UK appears to be meeting needs: other health problems may now have higher priority for health care resources.

Type

Journal article

Journal

Health Serv Manage

Publication Date

06/1988

Volume

84

Pages

17 - 19

Keywords

Hemodialysis Units, Hospital, Hemodialysis, Home, Hospital Units, Humans, Kidney Failure, Chronic, Kidney Transplantation, Peritoneal Dialysis, Continuous Ambulatory, State Medicine, United Kingdom