Cardiovascular Disease
Conditions
Keywords
on line hemodiafiltration, tolerance, quality of life, cardiovascular risk, Hemodialysis patients
Brief summary
The aim of this study is to appreciate the tolerance of on line hemodiafiltration and its impact on morbidity and cardiovascular risk factors in chronic renal failure patient.
Detailed description
The aim of this study is to appreciate the tolerance of on line HDF treatment versus conventional high flux hemodialysis in term of adverse events occuring during dialysis sessions between day 30 and day 120 of treatment and to evaluate: * Quality of life evaluated with the KDQOL questionnaire * Incidence of cardiovascular events * Influence of the technic on cardiovascular, inflammatory and infectious risk factors * Mortality
Interventions
3 sessions/week; 3-4 hours per session
3 sessions/week; 3-4 hours per session; high flux dialyzers
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient who has signed the written consent form * Patient aged \> 65 and \< 90 years * With creatinine clearance \< 10 mL/min * On dialysis for a minimum of 3 months, with 3 times a week hemodialysis sessions * Erythropoietin dosage needed to maintain hemoglobin at a constant level (range of hemoglobin: 9-13 g/dL without any variation of more than 2g/dL for less than 3 months) * Without any problem of vascular access
Exclusion criteria
* Patient aged \< 65 and \> 90 years * Presence of severe malnutrition (albumin \< 20 g/L) * Unstable clinical condition * Unipuncture or failed vascular access flow * Known problems of coagulation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| tolerance of on line HDF treatment versus conventional high flux hemodialysis in term of adverse events occuring during dialysis sessions | between day 30 and day 120 of treatment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of cardiovascular events | day 180, 365, 730 | — |
| Influence of the technic on mineral metabolism disturbances | day 180, 365, 730 | measure of mineral metabolism parameters (Ca, PO4, PTH) |
| All cause and cardiovascular mortality | day 180, 365, 730 | — |
| Quality of life evaluated with the KDQOL questionnaire | day 0, 180, 365, 730 | — |
| Influence of the technic on microbiological safety | day 180, 365, 730 | measure of microbiological purity of dialysate |
| Influence of the technic on oxidative stress parameters | day 180, 365, 730 | measure of oxidative stress markers (AOPP, AGE) and antioxidant systems (vitamin E) |
| Influence of the technic on inflammatory parameters | day 180, 365, 730 | measure of pro-inflammatory cytokines and acute phase reactant proteins |
Countries
France