Long slow hemodialysis with strict dry weight and blood pressure control without antihypertensive medication is associated with excellent long-term patient survival.
Does long slow hemodialysis improve patient survival compared to short hemodialysis in patients on dialysis?
Long slow hemodialysis may offer survival benefits by enabling better blood pressure and dry weight control without antihypertensive medications.
A drastic reduction in hemodialysis (HD) time has been based on the dialysis dose measurement in terms of urea Kt/V exclusively and on the use of high efficiency dialysers. It was subtly coupled to a de-emphasis of the use of HD to normalize blood pressure. In Tassin we have maintained long slow HD with an overall excellent patient survival. We analyze the influence of the different factors of this survival: the place of dry weight and blood pressure control without use of antihypertensive medication is emphasized, and the role of dialysis dose and nutrition is discussed. Adequacy should be defined in terms of these additive conditions. Long slow HD allows one to fulfill these conditions easily. Shortening of dialysis time should not interfere with the control of blood pressure.
Charra et al. (Mon,) conducted a review in Hemodialysis. Long slow hemodialysis vs. Short hemodialysis was evaluated on Patient survival. Long slow hemodialysis with strict dry weight and blood pressure control without antihypertensive medication is associated with excellent long-term patient survival.