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Article: Daily and nocturnal hemodialysis: How do they stack up?

TitleDaily and nocturnal hemodialysis: How do they stack up?
Authors
KeywordsDaily hemodialysis (HD)
Hemodialysis (HD)
Home hemodialysis (HD)
Mortality
Nocturnal hemodialysis (HD)
Quality of life
Issue Date2001
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/ajkd
Citation
American Journal Of Kidney Diseases, 2001, v. 38 n. 2, p. 225-239 How to Cite?
AbstractA growing number of articles in the literature describe experiences using more frequent hemodialysis (HD), either short daily or long nocturnal. Most of these publications highlight successes obtained by these programs with a fragmented look at specific areas and outcomes. This review of published results from the use of these therapies shows that universal improvement is noted in dialysis adequacy, nutrition, quality of life, blood pressure control, fluid and electrolyte balance, and hospitalizations when these parameters are mentioned. However, data reporting is often incomplete. Most studies do not have adequate control groups, patient populations are often different from the standard HD population, and many have small numbers that preclude statistical significance. Nonuniformity of patient selection and study design prevents accurate comparison and pooling of patient data. In some cases, the same patients' data for the same periods of observation are reported in several studies. Despite data that can be characterized as preliminary and anecdotal, the results reported in this review show remarkable patient improvement worthy of serious consideration by the renal community. To reach a level of evidence that will be widely acceptable, the renal community needs to partner with such government institutions as the National Institutes of Health and the Health Care Financing Administration to study systematically the outcomes and costs associated with using more frequent HD. In the process, important ramifications of such a cooperative study, including potential changes in policy, need to be considered. © 2001 by the National Kidney Foundation, Inc.
Persistent Identifierhttp://hdl.handle.net/10722/162477
ISSN
2023 Impact Factor: 9.4
2023 SCImago Journal Rankings: 3.096
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorMok, CCen_US
dc.contributor.authorHo, CTKen_US
dc.contributor.authorSiu, YPen_US
dc.contributor.authorChan, KWen_US
dc.contributor.authorKwan, THen_US
dc.contributor.authorLau, CSen_US
dc.contributor.authorWong, RWSen_US
dc.contributor.authorAu, TCen_US
dc.date.accessioned2012-09-05T05:20:22Z-
dc.date.available2012-09-05T05:20:22Z-
dc.date.issued2001en_US
dc.identifier.citationAmerican Journal Of Kidney Diseases, 2001, v. 38 n. 2, p. 225-239en_US
dc.identifier.issn0272-6386en_US
dc.identifier.urihttp://hdl.handle.net/10722/162477-
dc.description.abstractA growing number of articles in the literature describe experiences using more frequent hemodialysis (HD), either short daily or long nocturnal. Most of these publications highlight successes obtained by these programs with a fragmented look at specific areas and outcomes. This review of published results from the use of these therapies shows that universal improvement is noted in dialysis adequacy, nutrition, quality of life, blood pressure control, fluid and electrolyte balance, and hospitalizations when these parameters are mentioned. However, data reporting is often incomplete. Most studies do not have adequate control groups, patient populations are often different from the standard HD population, and many have small numbers that preclude statistical significance. Nonuniformity of patient selection and study design prevents accurate comparison and pooling of patient data. In some cases, the same patients' data for the same periods of observation are reported in several studies. Despite data that can be characterized as preliminary and anecdotal, the results reported in this review show remarkable patient improvement worthy of serious consideration by the renal community. To reach a level of evidence that will be widely acceptable, the renal community needs to partner with such government institutions as the National Institutes of Health and the Health Care Financing Administration to study systematically the outcomes and costs associated with using more frequent HD. In the process, important ramifications of such a cooperative study, including potential changes in policy, need to be considered. © 2001 by the National Kidney Foundation, Inc.en_US
dc.languageengen_US
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/ajkden_US
dc.relation.ispartofAmerican Journal of Kidney Diseasesen_US
dc.subjectDaily hemodialysis (HD)-
dc.subjectHemodialysis (HD)-
dc.subjectHome hemodialysis (HD)-
dc.subjectMortality-
dc.subjectNocturnal hemodialysis (HD)-
dc.subjectQuality of life-
dc.subject.meshAcidosis - Etiology - Prevention & Controlen_US
dc.subject.meshAnemia - Etiology - Prevention & Controlen_US
dc.subject.meshCardiovascular Diseases - Etiology - Prevention & Controlen_US
dc.subject.meshCosts And Cost Analysisen_US
dc.subject.meshHumansen_US
dc.subject.meshKidney Failure, Chronic - Complications - Therapyen_US
dc.subject.meshLength Of Stay - Statistics & Numerical Dataen_US
dc.subject.meshNutrition Disorders - Etiology - Prevention & Controlen_US
dc.subject.meshPeriodicityen_US
dc.subject.meshPolicy Makingen_US
dc.subject.meshPractice Guidelines As Topicen_US
dc.subject.meshQuality Of Lifeen_US
dc.subject.meshRenal Dialysis - Economics - Methods - Mortality - Standardsen_US
dc.subject.meshRenal Osteodystrophy - Etiology - Prevention & Controlen_US
dc.subject.meshSurvival Rateen_US
dc.subject.meshWater-Electrolyte Balanceen_US
dc.titleDaily and nocturnal hemodialysis: How do they stack up?en_US
dc.typeArticleen_US
dc.identifier.emailLau, CS:cslau@hku.hken_US
dc.identifier.authorityLau, CS=rp01348en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1053/ajkd.2001.26079-
dc.identifier.pmid11479147-
dc.identifier.scopuseid_2-s2.0-0034905242en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0034905242&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume38en_US
dc.identifier.issue2en_US
dc.identifier.spage225en_US
dc.identifier.epage239en_US
dc.identifier.isiWOS:000170204700001-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridMok, CC=34668219600en_US
dc.identifier.scopusauthoridHo, CTK=55222474000en_US
dc.identifier.scopusauthoridSiu, YP=7006847472en_US
dc.identifier.scopusauthoridChan, KW=29267451300en_US
dc.identifier.scopusauthoridKwan, TH=36942446800en_US
dc.identifier.scopusauthoridLau, CS=14035682100en_US
dc.identifier.scopusauthoridWong, RWS=34875928200en_US
dc.identifier.scopusauthoridAu, TC=7006646148en_US
dc.identifier.issnl0272-6386-

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