Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Incremental dialysis.

¹University of Arkansas for Medical Sciences, 4301 West Markham, Mail Slot 501, Little Rock, AK 72205, USA.

Journal of the American Society of Nephrology : JASN

|July 11, 2001

Summary

This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Variations in provider practices in remote patient monitoring on peritoneal dialysis in the USA and Canada.

Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis·2024

Same author

Blood pressure targets in hemodialysis patients.

Kidney international·2008

Same author

Downloadable computer models for maintenance but not acute renal replacement therapy.

Kidney international·2006

Same author

A summary of the 2000 update of the NKF-K/DOQI clinical practice guidelines on peritoneal dialysis adequacy.

Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis·2002

Same author

Sustained low-efficiency dialysis for critically ill patients requiring renal replacement therapy.

Kidney international·2001

Same author

Hybrid renal replacement modalities for the critically ill.

Contributions to nephrology·2001

Same journal

Variants to Functions to Therapeutic Strategies Toward Genomically Informed Care for Autosomal Dominant Polycystic Kidney Disease.

Journal of the American Society of Nephrology : JASN·2026

Same journal

Personalizing Cardio-Kidney-Metabolic Therapy: Closer But Not There Yet.

Journal of the American Society of Nephrology : JASN·2026

Same journal

Autosomal Dominant Tubulointerstitial Kidney Disease: My Kingdom for a Biomarker.

Journal of the American Society of Nephrology : JASN·2026

Same journal

Beyond the Margin: Improving Noninferiority Trials of Kidney Transplant Immunosuppression.

Journal of the American Society of Nephrology : JASN·2026

Same journal

Parathyroid Hormone Receptor 1 Facilitates Cyst Growth in Genetic Models of Autosomal Dominant Polycystic Kidney Disease.

Journal of the American Society of Nephrology : JASN·2026

Same journal

Alanyl-tRNA Synthetase 1 and Cyst Growth in Autosomal Dominant Polycystic Kidney Disease.

Journal of the American Society of Nephrology : JASN·2026

See all related articles

Incremental dialysis offers a strategy to optimize urea clearance for pre-end-stage renal disease patients. This approach supplements residual renal function when Kt/Vurea falls below 2.0, ensuring adequate dialysis care.

Area of Science:

Nephrology
Renal Replacement Therapy
Dialysis Adequacy

Background:

The National Kidney Foundation-Dialysis Outcome Quality Initiative (NKF-DOQI) first discussed incremental dialysis.
A paradox exists in focusing on urea clearance for end-stage renal disease (ESRD) but not pre-ESRD patients.

Purpose of the Study:

To detail the concept of incremental dialysis.
To address the optimization of dialysis in pre-ESRD patients.

Main Methods:

The NKF-DOQI Peritoneal Dialysis Adequacy Work Group recommended incremental dialysis.
Supplemental Kt/Vurea is added when residual renal Kt/Vurea drops below 2.0.

Main Results:

Evidence from peritoneal dialysis suggests a weekly Kt/Vurea of 2.0 is appropriate.

Related Experiment Videos

Incremental dialysis aims to maintain adequate dialysis over time.

Conclusions:

Incremental dialysis is a recommended strategy for pre-ESRD patients.
This approach ensures sufficient urea clearance by supplementing residual renal function.