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The 2015 update of the KDOQI Clinical Practice Guideline for Hemodialysis Adequacy is intended to assist practitioners caring for patients in preparation for and during hemodialysis. The literature reviewed for this update includes clinical trials and observational studies published between 2000 and March 2014.
The guideline is split into sections: each begins with a few statements which are graded by strength (1 is a firm recommendation, 2 is more like a sensible suggestion), and the type of research available to back up the statement, ranging from A (good quality trials so we are pretty sure this is right) to D (more like the opinion of experts than ...
The National Kidney Foundation’s Kidney Disease Outcomes Quality Initiative (KDOQI) has provided evidence-based guidelines for hemodialysis vascular access since 1996. Since the last update in 2006, there has been a great accumulation of new evidence and sophistication in the guidelines process.
4 lut 2015 · Control of ECV with the combination of dietary sodium restriction and appropriate ultrafiltration with (13) or without (14, 15) low sodium dialysate has been shown to be effective for BP control and regression of LVH in small uncontrolled studies of patients treated with conventional hemodialysis (4-5 hours) (16).
4 cze 2024 · In this systematic review of nine studies and meta-analysis of four studies involving 576 adult patients with kidney failure receiving maintenance HD, we found that increasing dialysate flow rates from 500 ml/min to 800 ml/min improved dialysis adequacy as measured by URR (3.38) and spKt/V (0.08).
In concordance with the KDIGO Work Group, 91 we suggest that all HD prescriptions specify the duration of the individual dialysis session, the number of treatments per week, blood and dialysate flow rates, the location for HD treatment, and the level of assistance.
A higher dialysate flow rate (800 ml/min) increased single-pool Kt/V by 0.08 [95% confidence interval (CI) 0.05–0.10, P < .00001] and URR by 3.38 (95% CI 1.97–4.78, P < .00001) compared with a dialysate flow rate of 500 ml/min. Clinically relevant outcomes including symptoms, cognition, physical function and mortality were lacking and studies we...
