The Japanese Journal of Clinical Dialysis Vol.35 No.4(6)

Theme Residual renal function in dialysis patients
Title Dialysis modality and residual renal function
Publish Date 2019/04
Author Tadashi Tomo Clinical Engineering Research Center, Oita University, Faculty of Medicine
[ Summary ] Preservation of residual kidney function is important in maintenance dialysis, and influences the prognosis in both hemodialysis and peritoneal dialysis patients. Residual kidney function in peritoneal dialysis patients contributes to increased water and solute removal. Maintenance of residual kidney function can suppress the increase in serum β-2 microglobulin concentration and decrease the ultrafiltration volume during hemodialysis treatment.
To maintain residual kidney function in hemodialysis patients, it is important to avoid high dose ultrafiltration, and to use a highly biocompatible dialyzer to reduce micro-inflammation by using ultra-purified dialysis fluid, among other considerations.
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