NDT-EDUCATIONAL

Should a more frequent dialysis schedule be applied?

In general, patients with End Stage Renal Disease are dialyzed 3 times per week for about four hours each time. Observational studies have associated long dialysis intervals with an excess risk of mortality and cardiovascular disease hospitalizations, and on the other hand a rather new studyhas suggested that daily dialysis might improve left-ventricular mass and health-related quality of life. Therefore the idea to implement a more frequent dialysis schedule seems appealing.

However is a more frequent schedule really efficient, e.g. beneficial and economically justifiable? Prof. Carmine Zoccali, NDT Editor-in-Chief took the task to analyze the pros and cons on this matter and to draw a conclusion. His review can be read in the January edition of NDT.

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