scholarly journals Assessment of adequacy of hemodialysis dose at a Palestinian hospital

2014 ◽  
Vol 25 (2) ◽  
pp. 438 ◽  
Author(s):  
Rowa Al-Ramahi ◽  
Nidal Jaradat ◽  
Rand Badran ◽  
Heba Adas
Keyword(s):  
Hemodialysis Dose

scholarly journals Effects of hemodialysis dose and membrane flux on health-related quality of life in the HEMO Study

2004 ◽  
Vol 66 (1) ◽  
pp. 355-366 ◽  
Author(s):  
Mark Unruh ◽  
Robert Benz ◽  
Tom Greene ◽  
Guofen Yan ◽  
Srinivasan Beddhu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Related Quality ◽  
Membrane Flux ◽  
Related Quality ◽  
Health Related ◽  
Hemodialysis Dose

Lessons from the hemodialysis (HEMO) Study: An improved measure of the actual hemodialysis dose

1999 ◽  
Vol 33 (1) ◽  
pp. 142-149 ◽  
Author(s):  
Thomas Depner ◽  
Gerald Beck ◽  
John Daugirdas ◽  
John Kusek ◽  
Garabed Eknoyan
Keyword(s):  
Hemodialysis Dose

scholarly journals Adequacy of Hemodialysis and Its Associated Factors among Patients Undergoing Chronic Hemodialysis in Dar es Salaam, Tanzania

2020 ◽  
Vol 2020 ◽  
pp. 1-6 ◽  
Author(s):  
Samina S. Somji ◽  
Pascal Ruggajo ◽  
Sibtain Moledina
Keyword(s):  
Multivariate Analysis ◽  
Surface Area ◽  
Associated Factors ◽  
Univariate Analysis ◽  
Reduction Rate ◽  
Dar Es Salaam ◽  
Chronic Hemodialysis ◽  
Reduction Ratio ◽  
Hemodialysis Dose ◽  
Urea Reduction Ratio

The worldwide prevalence of maintenance hemodialysis continues to rise. An adequate delivery of hemodialysis dose as measured by Kt/V or urea reduction ratio is a crucial determinant of clinical outcome for chronic hemodialysis patients. The aim of this study was to assess the adequacy of hemodialysis and its associated factors among patients undergoing chronic hemodialysis in Dar es Salaam. This was a cross-sectional study done on patients undergoing chronic hemodialysis in four dialysis centers in Dar es Salaam. Sociodemographic information and treatment characteristics were collected. Urea reduction rate and single-pool Kt/V were calculated to determine the adequacy of hemodialysis. The data were analyzed and any associated factors for inadequate hemodialysis were determined using a chi-square test and a logistic regression analysis. A total of 143 patients participated in the study. Males represented 65.7% of the study population. The mean age (±SD) was 51.7 ± 1.2 years. Only 34.3% (based on urea reduction ratio (URR)) and 40.6% (based on Kt/V) of patients received adequate hemodialysis. The univariate analysis showed that males were more likely to have inadequate dialysis (65.6% versus 48.0%, p=0.048 based on Kt/V). Patients using hemodialyzers with dialyzer surface area less than 1.4 m2 received significantly less hemodialysis dose than those with more than 1.4 m2 (69.0% versus 41.2%, p=0.02, by URR) (62.7% versus 35.3%, p=0.03, by Kt/V criteria). Patients who had hemoglobin <10 g/dl received significantly inadequate hemodialysis dose as compared to patients with hemoglobin ≥10 g/dl by Kt/V criteria (69.8% versus 51.3%, p=0.03). None of the factors acquired significance in the multivariate analysis. The proportion of patients receiving an adequate hemodialysis dose is low (34.3% based on URR and 40.6% based on Kt/V). Male gender, dialyzer surface area of <1.4 m2, and hemoglobin level of <10 g/dl were associated with an inadequate delivered dose of hemodialysis in the univariate analysis but not in the multivariate analysis. This study can increase awareness about the importance of measuring hemodialysis adequacy and giving the correct hemodialysis dose to achieve the intended benefit.

A new Bayesian method to forecast and fine tune individual hemodialysis dose

2004 ◽  
Vol 8 (3) ◽  
pp. 244-256 ◽  
Author(s):  
M Pfister ◽  
D E Uehlinger ◽  
A M Hung ◽  
F Schaedeli ◽  
L B Sheiner
Keyword(s):  
Bayesian Method ◽  
Fine Tune ◽  
Hemodialysis Dose

scholarly journals Kt/V underestimates the hemodialysis dose in women and small men

2008 ◽  
Vol 74 (3) ◽  
pp. 348-355 ◽  
Author(s):  
Elaine M. Spalding ◽  
Shahid M. Chandna ◽  
Andrew Davenport ◽  
Ken Farrington
Keyword(s):  
Hemodialysis Dose

The relative predictive ability of four different measures of hemodialysis dose

2002 ◽  
Vol 40 (6) ◽  
pp. 1289-1294 ◽  
Author(s):  
Andrew S. O'Connor ◽  
Janeen B. Leon ◽  
Ashwini R. Sehgal
Keyword(s):  
Predictive Ability ◽  
Hemodialysis Dose

scholarly journals A reduced hemodialysis dose improved nutrient metabolism in an elderly hemodialysis patient –A study of amino acid metabolism–

2017 ◽  
Vol 50 (8) ◽  
pp. 519-526
Author(s):  
Hiroyuki Sano ◽  
Yutaka Kitagawa ◽  
Katsuyo Honsho ◽  
Junko Sanehiro ◽  
Mikiko Matsumoto ◽  
...  
Keyword(s):  
Amino Acid ◽  
Amino Acid Metabolism ◽  
Acid Metabolism ◽  
Hemodialysis Patient ◽  
Nutrient Metabolism ◽  
Hemodialysis Dose

scholarly journals Associations of hemodialysis dose and session length with mortality risk in Australian and New Zealand patients

2006 ◽  
Vol 69 (7) ◽  
pp. 1229-1236 ◽  
Author(s):  
M.R. Marshall ◽  
B.G. Byrne ◽  
P.G. Kerr ◽  
S.P. McDonald
Keyword(s):  
New Zealand ◽  
Mortality Risk ◽  
Session Length ◽  
Hemodialysis Dose

scholarly journals Imprecision of the hemodialysis dose when measured directly from urea removal

1999 ◽  
Vol 55 (2) ◽  
pp. 635-647 ◽  
Author(s):  
Thomas A. Depner ◽  
Tom Greene ◽  
Frank A. Gotch ◽  
John T. Daugirdas ◽  
Prakash R. Keshaviah ◽  
...  
Keyword(s):  
Hemodialysis Dose

scholarly journals Estimation of Accurate and New Method for Hemodialysis Dose Calculation

2008 ◽  
Vol 1 ◽  
pp. CMU.S771
Author(s):  
Ahmad T. Azar
Keyword(s):  
First Generation ◽  
Second Generation ◽  
Dose Calculation ◽  
The Other ◽  
New Method ◽  
Dialysis Patients ◽  
Dialysis Dose ◽  
New Formula ◽  
Hemodialysis Dose

Background The Kt/V value demonstrates the dose of hemodialysis (HD). However, because of several existing methods for calculating delivered dialysis dose, Kt/V values can, in fact, be different for the same set of pre-/post-dialysis blood urea concentrations. Methods In the study presented here, another formula was derived for calculating Kt/V from the pre- and post-dialysis BUN. We prospectively compared the Kt/V values obtained using this new formula and the Kt/V values obtained via the other existing formulae to see whether reliance on the latter approach was likely to lead to errors in over- or underprescribing dialysis regimens. Data were processed on 268 dialysis patients. Results The estimated Kt/V (Kt/Vest) values were statistically different (p < 0.05) from the calculated Kt/V values from other models, except for those Kt/V values calculated according to the lowrie (P = 0.112), Keshaviah (P = 0.069), Daugirdas First Generation (P = 0.059), Basile (P = 0.102), Ijely (P = 0.286) and Daugirdas Second Generation (P = 0.709). The best correlations were seen with the Daugirdas second generation formula (R = 0.958 and R2 = 0.919). Conclusion Since the best correlations were seen between Kt/Vest and the Daugirdas second generation Kt/V we can demonstrate that these two models are more accurate than the other models.

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