Table 1.

A summary of the old and new paths

The Old PathThe New Path
Early startTimely start: meticulous management of first 90 to 120 days
Fistula FirstCatheter Last
Kt/V for dosage adequacy (exclusively)ECFV control (24 hours per day, 7 days per week)
Short sessions, thrice weeklyLonger or more frequent sessions
Emphasis on ASCVDMind the left ventricle
Aggressive anemia and bone disease managementModerate use of ESA, iron, vitamin D, phosphate binders, calcimimetics
Treat active infectionsAvoid infection
Dietary restrictionsEat, eat, eat—but not salt
  • ASCVD, atherosclerotic cardiovascular disease; ESA, erythropoiesis-stimulating agents.