Mallappallil MC, et al. - Whether there are uniform patterns in how nephrologists transition patients to dialysis, was investigated via a survey of United States nephrologists. The focus was on factors that were important for transitioning a patient to hemodialysis. They found that furosemide was prescribed by 74% and furosemide with metolazone by 67% before dialysis. Patients were continuously being prescribed diuretics daily by only 46% of the responders, once dialysis started. Medications were routinely changed by 68% once dialysis started. Most nephrologists would prescribe small dialyzers and a shorter period of time for the first dialysis session. Overall, variations in practice patterns were seen during the transition period to chronic hemodialysis.