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Haemodiafiltration and mortality in end-stage kidney disease patients: a pooled individual participant data analysis from four randomized controlled trials
Author(s) -
Sanne A. E. Peters,
Michiel L Bots,
Bernard Canaud,
Andrew Davenport,
Muriel P.C. Grooteman,
Fatih Kırçelli,
Francesco Locatelli,
Francisco Maduell,
Marion Moréna,
Menso J. Nubé,
Ercan Ok,
Ferrán Torres,
Mark Woodward,
P. J. Blankestijn
Publication year - 2015
Publication title -
nephrology dialysis transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.654
H-Index - 168
eISSN - 1460-2385
pISSN - 0931-0509
DOI - 10.1093/ndt/gfv349
Subject(s) - medicine , hazard ratio , proportional hazards model , kidney disease , confidence interval , randomized controlled trial , mortality rate , intensive care medicine
Mortality rates remain high for haemodialysis (HD) patients and simply increasing the HD dose to remove more small solutes does not improve survival. Online haemodiafiltration (HDF) provides additional clearance of larger toxins compared with standard HD. Randomized controlled trials (RCTs) comparing HDF with conventional HD on all-cause and cause-specific mortality in end-stage kidney disease (ESKD) patients reported inconsistent results and were at high risk of bias. We conducted a pooled individual participant data analysis of RCTs to provide the most reliable evidence to date on the effects of HDF on mortality outcomes in ESKD patients.

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