Intensive Hemodialysis in the Clinic and At Home

摘要: Conventional hemodialysis delivered so that urea clearance is adequate may still leave patients with uremic symptoms and unsatisfactory outcomes. This has led to an interest in more intensive prescriptions, where dialysis increased frequency, duration or both. Intensive can improve the of small solutes such as urea, but have even larger effect on tend maintain a large gradient between blood dialysate through course treatment. particularly true prescriptions increase total weekly hours dialysis. Studies suggested number potential benefits for hemodialysis, including improved nutritional markers, easier control anemia, lower hospitalization rates, improvements sleep apnea restoration fertility. The most convincing studies suggest pressure control, reduce left ventricular mass, health related quality life mineral metabolism parameters. techniques appear be associated access difficulties. These also cost-effective, especially when home. evidence benefit generated these increasing modalities, their prevalence been increasing. However, it remains unclear whether should offered wide range end-stage renal disease, instead targeted whose clinical status poor conventional hemodialysis.