| Theme |
Performance Evaluations for Blood Purification Devices and Characteristics of Dialysis Adequacy Indices |
| Title |
Effects of short daily hemodialysis |
| Author |
Misaki Moriishi |
Department of Artificial Organ, Akane Foundation Tsuchiya General Hospital |
| Author |
Hideki Kawanishi |
Department of Artificial Organ, Akane Foundation Tsuchiya General Hospital |
| [ Summary ] |
The effects of removing BUN, β2 microglobulin and phosphorus were compared when employing short daily hemodialysis of 2 hours 6 times a week, as to conventional hemodialysis of 4 hours 3 times a week. No differences in removal rates for BUN, β2 microglobulin calculated using equivalent renal clearance were observed with 2 hours 6 times a week treatment or 4 hours 3 times a week treatment. However, weekly solute removal volume was increased with 2 hours 6 times a week treatment as compared to 4 hours 3 times a week treatment. Therefore, predialysis solute values and TAC were lowered. Greater reductions were obtained by increasing the number dialysis sessions and prolonging dialysis time. Weekly phosphorus removal was increased with dialysis duration of 2 hours 6 times a week as compared to dialysis sessions of 4 hours 3 times a week. Serum phosphorus concentrations and the use of phosphate binders could be decreased when dialysis sessions of >2.5 hours 7 times a week were performed. Short daily dialysis should be selected for more efficient dialysis therapy. The development of convenient dialysis machinery, health service reform and the establishment of social support networks is need to avoid exhausting patients with frequent dialysis and higher medical bills. |