TY - JOUR
T1 - International differences in hemodialysis delivery and their influence on outcomes
AU - Kerr, Peter
PY - 2011
Y1 - 2011
N2 - There are many variations in the delivery of hemodialysis. These variations include components of conventional dialysis, such as membrane type, dialysis dose, and session duration. In addition, alternative approaches to dialysis, such as hemodiafiltration, nocturnal hemodialysis, and short daily hemodialysis, also may be considered. For some of these practice variations, data exist to support one approach over another (eg, fistulas rather than grafts and catheters), but for many, no such data exist. Very few practice variations have been examined in randomized trials, and we are reliant predominantly on observational data. This review examines some practice variations in hemodialysis delivery, attempting to highlight which of these may be appropriate to consider when optimizing dialysis delivery in the clinic.
AB - There are many variations in the delivery of hemodialysis. These variations include components of conventional dialysis, such as membrane type, dialysis dose, and session duration. In addition, alternative approaches to dialysis, such as hemodiafiltration, nocturnal hemodialysis, and short daily hemodialysis, also may be considered. For some of these practice variations, data exist to support one approach over another (eg, fistulas rather than grafts and catheters), but for many, no such data exist. Very few practice variations have been examined in randomized trials, and we are reliant predominantly on observational data. This review examines some practice variations in hemodialysis delivery, attempting to highlight which of these may be appropriate to consider when optimizing dialysis delivery in the clinic.
UR - http://www.ncbi.nlm.nih.gov/pubmed/21783291
U2 - 10.1053/j.ajkd.2011.04.021
DO - 10.1053/j.ajkd.2011.04.021
M3 - Article
SN - 0272-6386
VL - 58
SP - 461
EP - 470
JO - American Journal of Kidney Diseases
JF - American Journal of Kidney Diseases
IS - 3
ER -