title: Assessment of hemodialysis adequacy in patients with chronic kidney disease in the hemodialysis unit at Tanta University Hospital in Egypt.
abstract: Worldwide, hemodialysis (HD) constitutes the most common form of renal replacement therapy. Many studies have shown strong correlation between HD dose and clinical outcome. The cross-sectional study was conducted on 100 patients in Hemodialysis Unit at Tanta University Hospital, Egypt. Data were collected using a reliable questionnaire (including clinical, demographic, dialysis, laboratory, and radiological data). SpKt/V was used to assess the adequacy of HD. The results revealed inadequate HD dose among 60% of the study population. The results also showed that increasing time and frequency of dialysis, blood flow rates, low recirculation percentages, reduction of intradialytic complaints, and well-functioning vascular access are associated with better HD adequacy. Our findings showed a positive correlation between dialysis dose and hemoglobin, serum albumin, normalized protein catabolic rate, and physical health. A great percentage of patients had inadequate HD. HD adequacy was influenced by several factors such as duration and frequency of dialysis session, patients' complaints, and well-functioning vascular access.
authors.affiliation: Department of Internal Medicine, Nephrology and Hemodialysis Unit, Faculty of Medicine, Tanta University, Tanta, Egypt.
authors.forename: M
authors.initials: M
authors.lastname: El-Sheikh
authors.affiliation: Department of Internal Medicine, Nephrology and Hemodialysis Unit, Faculty of Medicine, Tanta University, Tanta, Egypt.
authors.forename: G
authors.initials: G
authors.lastname: El-Ghazaly
keywords: Adequacy; dialysis session; hemodialysis