The Japanese Journal of Clinical Dialysis Vol.26 No.2(2)

Theme Re-consideration for the Modification of Hemodialysis Therapy
Title Long hemodialysis without salt restriction ; methods, outcomes and problems
Publish Date 2010/02
Author Hiroshi Kaneda Kamome Clinic
[ Summary ] 1. Method : A 3x6-8hr/week hemodialysis without salt restricted diet(8-12 g/day of salt intake)without potassium control was carried out over a 12 year period. 2. Outcomes: 1) Adequate blood pressure and nutrition control were achieved. 2) The average yearly mortality rate was 4.2% compared to the 9.6% rate observed by the JSDT (2008) in 74 out of 1,764 patients treated over the 10 year period (1999-2008). 3) As a cause of death, heart failure accounted for 1.4% of cases (24.0% in JSDT), infection 6.8% (20.0%), CVD 6.8% (8.6%) and malignancy 16.2% (9.2%). 3. Problems:This dialysis modality is not popular in Japan but it may become accepted world-wide in the future because of high QOL, low mortality rates and the fact that dialysis costs are very low. However, in Japan it may not easily become accepted because of economic reason.
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