How best to improve survival in hemodialysis patients: solute clearance or volume control?
- PMID: 22042030
- DOI: 10.1038/ki.2011.267
How best to improve survival in hemodialysis patients: solute clearance or volume control?
Abstract
How much dialysis is required for optimal well-being and long-term survival? The Frequent Hemodialysis Network completed two prospective trials examining the effect of more frequent, short hours and, now, of nocturnal hemodialysis compared with standard thrice-weekly treatments. Whereas the short-hours trial reported benefits with more frequent dialysis, somewhat paradoxically, nocturnal hemodialysis had fewer advantages. However, this trial was probably underpowered, and confounded by the beneficial effects of home hemodialysis in the control group.
Comment on
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The effects of frequent nocturnal home hemodialysis: the Frequent Hemodialysis Network Nocturnal Trial.Kidney Int. 2011 Nov;80(10):1080-91. doi: 10.1038/ki.2011.213. Epub 2011 Jul 20. Kidney Int. 2011. PMID: 21775973 Free PMC article. Clinical Trial.
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