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What Is Known and Unknown About Twice-Weekly Hemodialysis
Author(s) -
Yoshitsugu Obi,
Rieko Eriguchi,
ShuoMing Ou,
Connie M. Rhee,
Kamyar KalantarZadeh
Publication year - 2015
Publication title -
blood purification
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 57
eISSN - 1421-9735
pISSN - 0253-5068
DOI - 10.1159/000441577
Subject(s) - hemodialysis , medicine , dialysis , regimen , kidney disease , quality of life (healthcare) , intensive care medicine , nursing
The 2006 Kidney Disease Outcomes Quality Initiative guidelines suggest twice-weekly or incremental hemodialysis for patients with substantial residual kidney function (RKF). However, in most affluent nations de novo and abrupt transition to thrice-weekly hemodialysis is routinely prescribed for all dialysis-naïve patients regardless of their RKF. We review historical developments in hemodialysis therapy initiation and revisit twice-weekly hemodialysis as an individualized, incremental treatment especially upon first transitioning to hemodialysis therapy.

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