ESRD
Also written as: ESRD — end-stage renal disease
End-stage renal disease requiring renal replacement therapy in pediatric patients.
Full Definition
End-stage renal disease (ESRD) represents the final stage of chronic kidney disease where kidney function has declined to less than 10% of normal capacity. In pediatric nephrology, ESRD presents unique challenges including growth retardation, developmental delays, and the need for family-centered care coordination. Treatment options include dialysis (peritoneal or hemodialysis) or kidney transplantation, with transplantation being the preferred long-term treatment for children. The transition to adult care is a critical consideration in pediatric ESRD management.
Usage
Usage note: Prefer 'end-stage kidney disease' (ESKD) in patient-facing materials to avoid confusion with emotional disturbance.
In Context
- "The 16-year-old patient with ESRD was being prepared for transition to adult nephrology services." — discharge summary
- "Early referral for transplant evaluation is recommended for all children approaching ESRD." — clinical guideline