title: Intensified daily dialysis: the best chronic dialysis option for children?
abstract: Children receiving chronic hemodialysis (HD) three times a week have many obstacles to overcome. Not only do they have to endure dietary restrictions, but they also need to take various medications on a daily basis, which contribute to anorexia. Children on such conventional dialysis programs often have poorly controlled blood pressure (which can lead to left ventricular hypertrophy and/or left ventricular dysfunction) and impaired statural growth. Therefore, the need for more frequent and/or intensive dialysis is recognized. Nevertheless despite limited center experience, daily dialysis is currently most often limited as a rescue treatment. When performed, daily intensified HD provides a modality for preserving cardiovascular health and promoting normal growth in children. Therefore, the time spent on chronic dialysis preserves their chances of the best possible outcome.
authors.affiliation: Nephrology Dialysis Transplantation Children's Unit, University Hospital Hautepierre, Avenue Molière, Strasbourg, France. Michel.Fischbach@chru-strasbourg.fr
authors.forename: Michel
authors.initials: M
authors.lastname: Fischbach
authors.forename: Helen
authors.initials: H
authors.lastname: Fothergill
authors.forename: Ariane
authors.initials: A
authors.lastname: Zaloszyc
authors.forename: Soraya
authors.initials: S
authors.lastname: Menouer
authors.forename: Joelle
authors.initials: J
authors.lastname: Terzic
mesh_terms: D002648:Child; D006801:Humans; D006435:Renal Dialysis / Q000379:methods* / Q000706:statistics & numerical data; D013997:Time Factors