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Wearable and implantable artificial kidney devices for end-stage kidney disease treatment-Current status and review

Journal

ARTIFICIAL ORGANS
Volume 47, Issue 4, Pages 649-666

Publisher

WILEY
DOI: 10.1111/aor.14396

Keywords

chronic kidney disease; kidney replacement therapies; wearable and implantable artificial kidneys

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Chronic kidney disease is a leading cause of early mortality worldwide, but access to kidney replacement therapy is limited due to various factors. Researchers from different fields are collaborating to develop wearable and/or implantable artificial kidneys that can provide long-term effective kidney functions. The goal is to create easily accessible and affordable options that can improve the quality of life and life expectancy for CKD patients.
Background Chronic kidney disease (CKD) is a major cause of early death worldwide. By 2030, 14.5 million people will have end-stage kidney disease (ESKD, or CKD stage 5), yet only 5.4 million will receive kidney replacement therapy (KRT) due to economic, social, and political factors. Even for those who are offered KRT by various means of dialysis, the life expectancy remains far too low. Observation Researchers from different fields of artificial organs collaborate to overcome the challenges of creating products such as Wearable and/or Implantable Artificial Kidneys capable of providing long-term effective physiologic kidney functions such as removal of uremic toxins, electrolyte homeostasis, and fluid regulation. A focus should be to develop easily accessible, safe, and inexpensive KRT options that enable a good quality of life and will also be available for patients in less-developed regions of the world. Conclusions Hence, it is required to discuss some of the limits and burdens of transplantation and different techniques of dialysis, including those performed at home. Furthermore, hurdles must be considered and overcome to develop wearable and implantable artificial kidney devices that can help to improve the quality of life and life expectancy of patients with CKD.

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