Home hemodialysis, daily hemodialysis, and nocturnal hemodialysis: Core Curriculum 2009.

摘要

Given the recent results of the Hemodialysis (HEMO) and Adequacy of Peritoneal Dialysis in Mexico (ADEMEX) studies, historical concepts of dialysis adequacy were challenged after increasing small-solute clearance failed to impact on the survival of patients with end-stage renal disease (ESRD). As a result, increasing interest has shifted to augmentation of both the frequency and duration of hemodialysis (HD). Intensification of HD is achieved by increasing the frequency of therapy (in the case of short daily HD [SDHD]), duration of treatment, or both (in the case of home nocturnal HD [NHD]).