RenalWEB links to an advance access abstract from Nephrology Dialysis Transplantation. Short daily haemodialysis: survival in 415 patients treated for 1006 patient-years Kjellstrand et al, concludes:
Survival of patients on short daily haemodialysis was 2–3 times better than that of matched three times weekly haemodialysis patients reported by the USRDS.
A 2 to 3 times mortality advantage doing short daily dialysis suggests that long extended overnight dialysis will offer an even greater benefit. One result:
Survival of patients dialyzing daily at home was similar to that of age-matched recipients of deceased donor renal transplants.
does raise my question asked previously - should we now sell the idea of frequent home hemodialysis as enthusiastically as transplant is sold?





Comments