Dialysis prescription: A modifiable risk factor for chronic kidney disease patients.
Recent surveys of hemodialysis studies strongly support the fact that dialysis prescription is a modifiable risk factor. Six tracks to improve dialysis patient outcomes have been identified: change in vascular access option strategy and restricting catheter use; increasing time or frequency of dialysis sessions; assessment and management of fluid status; favoring removal of middle and large molecules by high-flux and convective clearance; considering ultrapurity of dialysis fluid purity as a new standard and a part of hemodialysis biocompatibility, and improving quality care and patient follow-up. By modifying dialysis prescription and by implementing a continuous quality assurance program it appears possible to improve dialysis patient survival.
Canaud
Bernard
B
Lapeyronie University Hospital, CHU Montpellier, France. b-canaud@chu-montpellier.fr
Wabel
Peter
P
Tetta
Ciro
C
D006801:Humans; D055656:Prescriptions; D006435:Renal Dialysis / Q000379:methods*; D051436:Renal Insufficiency, Chronic / Q000628:therapy*; D012307:Risk Factors