| Theme | Diversity of hemodialysis therapies | |
|---|---|---|
| Title | Basic characteristics of online HDF | |
| Publish Date | 2013/05 | |
| Author | Hideki Kawanishi | Tsuchiya General Hospital |
| [ Summary ] | The removal efficiency of online HDF depends on convective volume, prescribed dilution methods, blood flow, dialysate flow, and the water permeability into hemodiafilters. When a protein-permeable dialyzer was used for post-dilution HDF, albumin leakage rapidly increased. Pre-dilution HDF is often selected as a treatment procedure. Because of revisions in the reimbursement system for medical services made in 2012, a technical fee for online HDF was established and "the restrictions concerning indication" for treatment have been eliminated. In terms of facility requirements, calculations of "additional parameters to maintain dialysis fluid water quality" were added also. Since this amendment was implemented, we have been able to perform online HDF on all dialysis patients. In the future, it will be necessary to accumulate evidence on the effectiveness of online HDF. |
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