Premium
Resolving Controversies Regarding Hemodiafiltration versus Hemodialysis: The Dutch Convective Transport Study
Author(s) -
Penne E. Lars,
Blankestijn Peter J.,
Bots Michiel L.,
Van Den Dorpel Marinus A.,
Grooteman Muriel P. C.,
Nubé Menso J.,
Ter Wee Piet M.
Publication year - 2005
Publication title -
seminars in dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 78
eISSN - 1525-139X
pISSN - 0894-0959
DOI - 10.1111/j.1525-139x.2005.18107.x
Subject(s) - medicine , hemodialysis , intensive care medicine , dyslipidemia , dialysis , randomized controlled trial , disease
Hemodialysis patients suffer from a high incidence of cardiovascular disease. Among the many predisposing factors, such as high blood pressure, dyslipidemia, and fluid overload, the accumulation of high molecular weight uremic toxins, the so‐called middle molecules, may play an important role. Since convective therapies such as online hemodiafiltration have a better clearance profile for these compounds than standard hemodialysis, it has been suggested that these dialysis strategies may reduce cardiovascular morbidity and mortality. As reliable data on these issues are not available, the Dutch Convective Transport Study (CONTRAST) was recently initiated. This prospective randomized trial was designed to compare online hemodiafiltration with low‐flux hemodialysis with respect to cardiovascular morbidity and mortality.