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January 1, 2004Blood Purification

A One-Year Trial of In-Center Daily Hemodialysis with an Emphasis on Quality of Life

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Key result

In-center daily hemodialysis for 12 months decreased blood pressure and improved quality of life parameters relative to baseline, with 100% of patients wishing to continue DHD.

Why the study?

Does in-center daily hemodialysis improve quality of life and blood pressure control in chronic hemodialysis patients compared to 3 times weekly hemodialysis?

Population

Chronic hemodialysis patients. At least 12 patients.

Comparison

In-center daily hemodialysis 6 times per week… vs Baseline 3 times weekly hemodialysis (CHD).

Design

Cohort

Follow-up

12 months

Authors

JRJeffrey T. ReynoldsPHPeter HomelAustralian Institute of CriminologyLCLisa CanteyRenal Research Institute

Discussion

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Implication

Daily hemodialysis was associated with BP and QoL gains; leaves open superiority versus thrice-weekly regimens in RCTs.

Structured PICO

Does in-center daily hemodialysis improve quality of life and blood pressure control in chronic hemodialysis patients compared to 3 times weekly hemodialysis?

P
Population
12 chronic hemodialysis patients switched to in-center daily hemodialysis and followed for up to 12 months.
I
Intervention
In-center daily hemodialysis (DHD) 6 times per week for a 12-month period, with a standardized weekly Kt/V goal of 3.0.
C
Comparator
Baseline 3 times weekly hemodialysis (CHD).
O
Outcome
Quality of life (QOL) assessed with multiple instruments and clinical parameters (including blood pressure) at 12 months.patient reported

Switching chronic hemodialysis patients to in-center daily hemodialysis improves blood pressure control and quality of life.

Cite This Study

Reynolds et al. (2004) studied Chronic hemodialysis (n=12). In-center daily hemodialysis (DHD) vs. Baseline (3 times weekly hemodialysis) was evaluated on Clinical parameters including blood pressure and quality of life (QOL). In-center daily hemodialysis for 12 months decreased blood pressure and improved quality of life parameters relative to baseline, with 100% of patients wishing to continue DHD.

synapsesocial.com/papers/6a98d56ef3ae593e01362049https://doi.org/10.1159/000079186
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Daily home haemodialysis in the Netherlands; effects on metabolic control, heamodynamics, and quality of life1998 · 212 citations
  2. 2Echocardiographic determination of left ventricular mass in man. Anatomic validation of the method.1977 · 4,511 citations
  3. 3Patients’ Descriptions of Specific Factors Leading to Modality Selection of Chronic Peritoneal Dialysis Or Hemodialysis2002 · 131 citations