End Stage Renal Disease, Chronic Kidney Disease
Conditions
Keywords
Hemodialysis, Adequacy, Frequency
Brief summary
The study compares the benefits of short daily hemodialysis six days a week, nocturnal (night time) hemodialysis six days a week, every other day and every other night hemodialysis to traditional three days a week hemodialysis.The hypothesis is that increasing hemodialysis treatment time and/or frequency will improve outcomes.
Interventions
Six Day per week short daily hemodialysis
3 days per week short daily hemodialysis
Sponsors
Study design
Eligibility
Inclusion criteria
* Stable vascular access, i.e., lack of needling difficulties and stable flow rates. Accesses will include fistulae, grafts, catheters and ports. * 18 years of age. * History of compliance with a dialysis treatment schedule, or if a new patient, express a willingness to be compliant with a treatment schedule. * Plan to continue care and follow-up at the investigational site. * Able to sign the informed consent and other relevant documents.
Exclusion criteria
* History of poor compliance with thrice (or twice) weekly dialysis schedules as manifested by more than three unexplained missed treatments in the past six (6) months. * Pregnancy. * Intravenous drug abuser. * Expects to receive a transplant or transfer to another facility within six months of entering the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hospitalization days per year | Ongoing |
Secondary
| Measure | Time frame |
|---|---|
| Nutritional Status measured by Subjective Global Assessment | Ongoing |
| Anemia, measured by erythropoetin dose | Ongoing |
| Control of hypertension, as measured by number of antihypertensive tablets taken per day | Ongoing |
| Control of hyperphosphatemia, as measured by number of phosphate binder tablets taken per day | Ongoing |
Countries
United States