Novel trends in haemodialysis: where are we heading?
- Author:
Tsun Gun NG
1
;
Seng Hoe TAN
Author Information
1. Renal Medicine Unit, Department of General Medicine, Tan Tock Seng Hospital, Singapore. Tsun_Gun_Ng@ttsh.com.sg
- Publication Type:Journal Article
- MeSH:
Humans;
Kidney Failure, Chronic;
therapy;
Renal Dialysis;
trends
- From:Annals of the Academy of Medicine, Singapore
2010;39(6):482-488
- CountrySingapore
- Language:English
-
Abstract:
The mortality and morbidity of end-stage renal failure patients undergoing conventional thrice weekly in-centre haemodialysis remain alarmingly high despite continuing advances in haemodialysis technologies and improvements in clinical care. Home haemodialysis continues to be under-utilised in many parts of the world despite the reported benefits. Alternative haemodialysis regimens including longer and/or more frequent dialysis (e.g. nocturnal haemodialysis and short daily haemodialysis), haemodiafiltration and the use of high flux dialysers have become more widespread in recent years as nephrologists struggle to improve the dismal survival figures. Whilst most of the encouraging data have come from observational studies, many randomised controlled trials which will provide more robust data are already underway. This review aims to provide a concise update of the recent and novel trends in haemodialysis.
