Extended Hemodialysis May Improve Phosphate Control

Since the 1960s, when hemodialysis first became a practical treatment for kidney failure, we've learned much about how to make hemodialysis treatments more effective and minimize side effects.  Hemodialysis can be an outpatient or inpatient therapy. Routine hemodialysis is conducted in a dialysis outpatient facility, either a purpose built room in a hospital or a dedicated, stand alone clinic.

Extended treatment time (TT) on hemodialysis (HD) may improve serum phosphate control, according to study findings presented at the 2014 Kidney Week meeting.

Investigators at Imperial College Hospital NHS Trust and North Bristol NHS Trust in the U.K. compared extended TT (6 hours) and standard TT (4 hours) on HD in a randomized, crossover study that included 29 patients. During the extended TT phase of the study, serum phosphate decreased significantly from 1.67 g/dL before treatment to 1.27 g/dL after 6 hours of treatment.

During the standard TT phase, serum phosphate increased significantly from 1.51 g/dL before treatment to 1.94 g/dL after 4 hours of treatment.

In addition, during the standard TT phase, researchers observed a significant increase in extracellular water, whereas during the extended TT phase, patients had no significant change in hydration status.

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Hemodialysis dialysis can lengthen the interval it?

Hemodialysis dialysis can lengthen the interval it? Many uremic patients on dialysis because of the number of multi-body some adverse reactions, and each dialysis are required to spend a greater cost, for many ordinary families is a huge burden , in order to reduce expenses, many people want to reduce the number of dialysis, then hemodialysis dialysis can lengthen the interval it?

Kidney disease experts, the interval of time needed depending on whether dialysis dialysis adequacy, residual renal function, body weight, and many other cases to decide, if you simply lengthen the interval of dialysis, dialysis time may be reduced, causing inadequate dialysis, dialysis imbalances and so on.

"Early" The importance of dialysis-called "early" with respect to dialysis is actually advanced in terms of dialysis, the dialysis is not early, "early", refers to the start of dialysis, the dialysis the right time, and should not appear in the systemic complications then forced to start dialysis.

"Early" Dialysis is a positive, proactive and timely treatment of uremia, can improve the quality of life, reduce the incidence of adverse reactions after dialysis, and ultimately saving dialysis treatment costs, to achieve the effect of dialysis. Especially early start peritoneal dialysis, can give full play to the role of the existing renal function, the effect is more ideal.

Late uremic dialysis refers to systemic response was very clear, no dialysis under life-threatening situations will be forced to start. It has one hundred harm and no benefit:

① increasing the difficulty and cost of treatment.

② systemic organ damage is obvious.

③ increasing and serious complication after dialysis.

④ After dialysis poor quality of life, survival time is short.

⑤ original kidney function loss away.

⑥ not actively choose their own dialysis according to their specific conditions

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