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June 1, 2008Brazilian Journal of Medical and Biological ResearchOpen Access

Hemodialysis improves endothelial venous function in end-stage renal disease

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Key result

A single hemodialysis session is linked to a ~63% improvement in endothelium-dependent venodilation in ESRD.

  • P=0.045
  • n=19

Why the study?

The acute effect of hemodialysis on endothelial venous function and oxidative stress in end-stage renal disease patients was not well defined.

Does a hemodialysis session improve endothelial venous function in patients with end-stage renal disease?

Population

9 ESRD patients on hemodialysis and 10 healthy controls matched for age and gender

Comparison

Endothelial function before and after a hemodialysis session and versus healthy controls

Design

Observational study using dorsal hand vein technique and oxidative stress markers

Follow-up

Immediately before and after a hemodialysis session

Authors

ASAntônio Marcos V. da SilvaLSLuís Ulisses SignoriRPRodrigo Della Méa Plentz

Discussion

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Member takes

Overview

Acute endothelial improvement after one session should not alter practice; leaves open long-term vascular benefits in ESRD.

Study Design

Type

Observational (n=19)

Structured PICO

Does a hemodialysis session improve endothelial venous function in patients with end-stage renal disease?

P
Population
19 participants including 9 patients with end-stage renal disease (mean age 36.8 years) and 10 healthy matched controls, evaluated for endothelial function before and after a hemodialysis session.
E
Exposure
A single hemodialysis session
C
Comparator
Measurements taken immediately before hemodialysis (within-subject comparison) and healthy controls
O
Outcome
Endothelial venous function assessed by endothelium-dependent venodilation (EDV) using graded local infusion of acetylcholine, and oxidative stress (TRAP and carbonyls)surrogate

Main Result

Absolute Event Rate: 106.6% vs 65.6%

p-value: p=0.045

A single hemodialysis session acutely improves endothelial venous function in patients with end-stage renal disease, which correlates with changes in antioxidant capacity.

Cite This Study

Silva et al. (2008) conducted an observational in End-stage renal disease (ESRD) (n=19). Hemodialysis session vs. Before hemodialysis was evaluated on Endothelium-dependent venodilation (EDV) (p=0.045). A single hemodialysis session significantly improved endothelium-dependent venodilation in patients with end-stage renal disease (106.6 vs 65.6 before dialysis; P=0.045).

synapsesocial.com/papers/6aa87b2997ae7bfb2c942c10https://doi.org/10.1590/s0100-879x2008000600008
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Hemodialysis Impairs Endothelial Function via Oxidative Stress2000 · 232 citations
  2. 2Dialysis improves endothelial function in humans2001 · 84 citations
  3. 3The effect of hemodialys on endothelial dysfunction in patients with end-stage renal disease2017 · 1 citations
  4. 4Effect of hemodialysis on pulmonary function tests and plasma endothelin levels2014 · 10 citations
  5. 5Acute effects of haemodialysis on endothelial function and large artery elasticity2001 · 61 citations