Bioimpedance Spectroscopy‐Based Fluid Status in Combined Dialysis Compared With Hemodialysis and Peritoneal Dialysis: A Cross‐Sectional Study

Combination therapy with peritoneal dialysis and hemodialysis (PD+HD) is widely used in Japan for PD patients with decreased residual renal function. However, fluid status in PD+HD patients has not been well studied. In this cross‐sectional study, we compared fluid status in 41 PD+HD patients with t...

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Published in:Therapeutic apheresis and dialysis 2020-08, Vol.24 (4), p.373-379
Main Authors: Tanaka, Mototsugu, Ishibashi, Yoshitaka, Hamasaki, Yoshifumi, Kamijo, Yuka, Idei, Mayumi, Nishi, Takahiro, Takeda, Michio, Nonaka, Hiroshi, Nangaku, Masaomi, Mise, Naobumi
Format: Article
Language:English
Subjects:
Aged
Body Fluids - physiology
Combination therapy
Combined Modality Therapy
Cross-Sectional Studies
Dielectric Spectroscopy - methods
End‐stage renal disease
Extracellular water
Female
Humans
Kidney Failure, Chronic - physiopathology
Kidney Failure, Chronic - therapy
Male
Middle Aged
PD+HD
Peritoneal Dialysis - methods
Renal Dialysis - methods
Residual renal function
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Summary:Combination therapy with peritoneal dialysis and hemodialysis (PD+HD) is widely used in Japan for PD patients with decreased residual renal function. However, fluid status in PD+HD patients has not been well studied. In this cross‐sectional study, we compared fluid status in 41 PD+HD patients with that in 103 HD and 92 PD patients using the bioimpedance spectroscopy. Extracellular water normalized to patient height (NECW, kg/m) was the highest in pre‐HD (8.3 ± 1.6) followed by PD (7.9 ± 2.7), PD+HD (7.5 ± 2.5), and post‐HD patients (6.9 ± 1.5) (P 
ISSN:1744-9979
1744-9987
DOI:10.1111/1744-9987.13444