tag:blogger.com,1999:blog-4230162007222918868.post829146629009044468..comments2023-09-19T05:50:03.130-04:00Comments on Renal Fellow Network: eKt/VGearoid McMahonhttp://www.blogger.com/profile/08049723797363526138noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-4230162007222918868.post-3006215627283954742011-10-04T08:03:00.707-04:002011-10-04T08:03:00.707-04:00Just a question: eKt/V is valid for HD and for HDF...Just a question: eKt/V is valid for HD and for HDF too?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4230162007222918868.post-87878404880771519152011-03-24T11:48:08.023-04:002011-03-24T11:48:08.023-04:00Zach,
Nocturnal seems great but the recently comp...Zach,<br /><br />Nocturnal seems great but the recently completed FHN Noctunal study was not conclusive (that's polite for negative trial) see: <a href="http://journals.lww.com/nephrologytimes/Fulltext/2010/12000/Daily_In_Center_Dialysis_Trial_Meets_Endpoints,.1.aspx" rel="nofollow"> Daily In-Center Dialysis Trial Meets Endpoints, but Nocturnal Home Trial Does Not</a><br /><br />As far as I know this is still yet to be published.<br /><br />from the article:<br /><br /><i>The other trial looked at nocturnal dialysis, randomizing 87 patients to overnight dialysis six times a week or conventional dialysis three times a week. All of the patients in the nocturnal arm and most of the patients in the conventional arm received dialysis at home. The trial did not show a significant change in either of the two co-primary outcomes, the same outcomes that were analyzed in the daily in-center trial.”</i>Kidney_Boyhttps://www.blogger.com/profile/03706593315253399631noreply@blogger.comtag:blogger.com,1999:blog-4230162007222918868.post-60871124942677578262011-03-23T11:18:49.255-04:002011-03-23T11:18:49.255-04:00Thanks for comment Zach. Here's a prior blog p...Thanks for comment Zach. Here's a prior blog post on the Tassin experience <a href="http://renalfellow.blogspot.com/2010/10/secrets-of-tassin.html" rel="nofollow">Tassin</a>. It's not just the longer dialysis treatment times that are important there, but their use to acheive scrupulous dry weight control, something that is difficult with 'standard' treatment times.Conall O' Seaghdhahttps://www.blogger.com/profile/02591806942414088134noreply@blogger.comtag:blogger.com,1999:blog-4230162007222918868.post-22516418070605383262011-03-23T09:55:55.712-04:002011-03-23T09:55:55.712-04:00And of course there is the Tassin experience in Fr...And of course there is the Tassin experience in France where longer but not more frequent hemodialysis has been used for almost 40 years with excellent outcomes.<br /><br />With treatment time typically 8 hours, three times a week, I wonder what the eKt/V is and how that compares to standard U.S. 3 to 3.5 hour treatment/3 days-a-week.<br /><br />Wasn't it the HEMO Study which concluded that for all but a small subgroup, there is no difference in mortality between standard dose and high dose groups?<br /><br />High dose achieved by way of increased blood pump flow rate (QB) is not the same as high dose dialysis achieved by increased time.<br /><br />Fortunately there are currently over 200 dialysis units in the U.S. providing in-center nocturnal (7-8 hours), three-nights-a-week. Hopefully, this trend will continue and provide more opportunities for those on dialysis to receive optimal treatment.Zachhttps://www.blogger.com/profile/13410543383755170870noreply@blogger.com