| A thrice weekly in-center nocturnal hemodialysis program. | |
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MedLine Citation:
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PMID: 17603977 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The mortality associated with hemodialysis (HD) remains high. Recent studies have found that a session time of 4 to 4.5 hours and an ultrafiltration rate of less than 10 cc/h/kg were each independently associated with a decreased mortality among HD patients. We started a thrice-weekly nocturnal HD program in May 2005 and have since enrolled a total of 16 patients. The Kt/V urea (2.6 +/- 0.65 vs. 1.2 +/- 0.16, mean +/- SD, P < .05) and serum phosphorus (4.4 +/- 1.1 v 5.3 +/-1.3 mg/dL, P =.049) values obtained 6 months after enrollment in the nocturnal HD program were significantly better than the baseline values obtained before the initiation of the nocturnal HD program. The ultrafiltration rate was 5.9 +/- 1.7 mL/h/kg 6 months after patients participated in the nocturnal HD program, whereas the rates for these same patients at baseline was 10.3 +/- 4.5 mL/h/kg. Psychosocial assessments were performed at baseline and again at 6 months. No difference was seen in the results of these assessments. We conclude that patients receiving long, in-center thrice-weekly nocturnal HD have a decrease in serum phosphate, an improvement in urea clearance, and a reduction in ultrafiltration rate to less than 10 mL/h/kg. This therapy appears to have no negative impacts on a variety of quality of life measures. |
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Authors:
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Laura Troidle; Mark Hotchkiss; Fredric Finkelstein |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Advances in chronic kidney disease Volume: 14 ISSN: 1548-5609 ISO Abbreviation: - Publication Date: 2007 Jul |
Date Detail:
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Created Date: 2007-07-02 Completed Date: 2007-08-23 Revised Date: 2009-04-16 |
Medline Journal Info:
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Nlm Unique ID: 101209214 Medline TA: Adv Chronic Kidney Dis Country: United States |
Other Details:
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Languages: eng Pagination: 244-8 Citation Subset: IM |
Affiliation:
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Milford Hemodialysis Center, Renal Research Institute, Milford, CT, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Appointments and Schedules Cohort Studies Evaluation Studies as Topic Female Follow-Up Studies Hemodialysis Units, Hospital* Humans Kidney Failure, Chronic / diagnosis, mortality, therapy* Male Middle Aged Night Care / methods* Quality of Life* Renal Dialysis / methods*, mortality Risk Factors Survival Analysis Time Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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