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01.10.2008 | Review

Intensified hemodialysis regimens: neglected treatment options for children and adolescents

verfasst von: Dominik Müller, Miriam Zimmering, Christopher T. Chan, Philip A. McFarlane, Andreas Pierratos, Uwe Querfeld

Erschienen in: Pediatric Nephrology | Ausgabe 10/2008

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Abstract

During recent years, the importance of intensified dialysis regimens has gathered increasing interest, especially after the Hemodialysis (HEMO) Study Group reported that a higher dose of thrice-weekly hemodialysis failed to improve clinical outcomes. Long nocturnal hemodialysis (three to six times per week) or short daily hemodialysis are the currently used forms of intensified dialysis. There is substantial evidence for cardiovascular and quality-of-life improvements as well as financial benefits with intensified hemodialysis. Preliminary experience with daily hemodialysis and hemodiafiltration in children has been reported. Given the continuing shortage of donor organs for kidney transplantation, the increasing incidence of end-stage renal disease (ESRD) and recognition of the deleterious effects of long-lasting ESRD, growth retardation, and poor social rehabilitation, more intensified dialysis regimens are a much-needed therapeutical option in both adults and children.

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Titel: Intensified hemodialysis regimens: neglected treatment options for children and adolescents
verfasst von: Dominik Müller
Miriam Zimmering
Christopher T. Chan
Philip A. McFarlane
Andreas Pierratos
Uwe Querfeld
Publikationsdatum: 01.10.2008
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Nephrology / Ausgabe 10/2008
Print ISSN: 0931-041X
Elektronische ISSN: 1432-198X
DOI: https://doi.org/10.1007/s00467-008-0783-4

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