Improving adequacy improves haemodialysis outcome

Summary Our goal of maintenance dialysis for the coming millennium is optimal rather than just adequate dialysis. Delivering a large amount of dialysis expressed in terms of urea Kt/V is a necessary but insufficient measure to improve clinical outcome. Cardiovascular morbidity and mortality remain v...

Full description

Saved in:
Bibliographic Details
Published in:EDTNA-ERCA Journal 2000-01, Vol.26 (1), p.6-10
Main Author: Charra, B.
Format: Article
Language:English
Subjects:
Blood Pressure
Blood Urea Nitrogen
Haemodialysis
Humans
Kidney Failure, Chronic - blood
Kidney Failure, Chronic - mortality
Kidney Failure, Chronic - physiopathology
Kidney Failure, Chronic - therapy
Morbidity
Mortality
Nursing
Optimal dialysis
Renal Dialysis - methods
Renal Dialysis - standards
Survival Analysis
Time Factors
Total Quality Management
Treatment Outcome
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Summary Our goal of maintenance dialysis for the coming millennium is optimal rather than just adequate dialysis. Delivering a large amount of dialysis expressed in terms of urea Kt/V is a necessary but insufficient measure to improve clinical outcome. Cardiovascular morbidity and mortality remain very high in haemodialysis. This is due in great part to the insufficient control of extra cellular volume and blood pressure. Ours, as well as published data, indicate that up to now, only increasing dialysis time either by prolonging the session or increasing its frequency has proven value in overcoming this critical issue.
ISSN:1019-083X
1755-6686
DOI:10.1111/j.1755-6686.2000.tb00068.x