Related Experiment Video
Updated: Aug 11, 2026
07:11
Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis
Published on: July 19, 2018
Daily hemodialysis: a dialysis provider perspective
1Fresenius Medical Care North America, Charlotte, NC, USA. jose.diaz-buxo@fmc-na.com
Advances in Renal Replacement Therapy
|October 11, 2001
Summary
Daily hemodialysis shows clinical benefits but lacks statistically significant outcomes. Current US reimbursement makes daily hemodialysis economically unfeasible, necessitating further trials to justify its coverage.
Area of Science:
- Nephrology
- Renal Replacement Therapy
Background:
- Dialysis providers aim for optimal renal substitution therapy delivery.
- Daily hemodialysis is explored for its potential to meet these goals.
- Clinical outcomes related to dialysis frequency, duration, and dose are examined.
Purpose of the Study:
- To review data on daily hemodialysis.
- To assess its impact on clinical outcomes over three decades.
- To evaluate economic feasibility under current reimbursement structures.
Main Methods:
- Literature review of available data on daily hemodialysis.
- Analysis of studies examining dialysis frequency, time, and dose.
- Assessment of economic factors influencing daily hemodialysis implementation.
Main Results:
- Available data suggest clinical advantages of daily hemodialysis.
- Statistically significant outcome improvements are not yet demonstrated.
- Daily hemodialysis is not economically viable in the US under current reimbursement.
Conclusions:
- Daily hemodialysis shows promise for improved patient outcomes.
- Further prospective clinical trials are required.
- Reimbursement reform is needed to support daily hemodialysis adoption.
Related Concept Videos
01:15Dialysis
Dialysis is a diffusion-based purification process that separates analyte molecules from a complex matrix. This is accomplished by allowing molecules in the solution to pass through a semipermeable membrane into a liquid on the other side. The membrane is usually made of cellulose acetate or cellulose nitrate, and the second liquid must be miscible with the solution. Ions (e.g., chloride or sodium) or organic molecules (e.g., glucose) can pass through the membrane pores, which generally have...
01:27Dialysis
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
01:25Peritoneal Dialysis III: Nursing Management
Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
01:25Hemodialysis I: Introduction
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
01:24Hemodialysis II: Procedure and Complications
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
01:25Hemodialysis III: Nursing Management
The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this measurement...