End Stage Renal Disease
Conditions
Keywords
haemodialysis, Crossover, Treatment time, nutritional status
Brief summary
Design: Prospective randomised cross-over study. Fifty-two eligible patients will be randomised to a treatment time of either 6 hours or 4 hours for a period of 24 weeks and following a washout period of 4 weeks, switch to the alternative treatment time for an additional 24 weeks. Aims: To examine the feasibility and effect of extended dialysis treatment time, 6 hours thrice weekly, versus the standard, 4 hours thrice weekly, comparing the differences from baseline in outcome measures over a total 12-month period. Primary outcome measure 1\]Serum albumin Secondary outcome measures Nutritional status 1. Malnutrition-inflammation score 2. Dietary intake 3. Hand-Grip strength 4. Energy expenditure Quality of life 1. Patient reported quality of life and 2. time to recovery from dialysis Serum biomarkers 1. BNP 2. Troponin 3. MCP-1 Others 24- hour Ambulatory blood pressure 24-hour accelerometer Population: Local haemodialysis population of 1200 patients Eligibility: Minimum 90days on haemodialysis treatment Duration: Fifty-six weeks
Interventions
patients receive extended dialysis treatment time time of 6 hours
Sponsors
Study design
Eligibility
Inclusion criteria
* Dialysis dependant for over 90 days
Exclusion criteria
1. Haemodialysis for less than 90 days 2. Patients with anticipated life expectancy less than 6 months secondary to significant morbidity e.g. metastatic malignancy, advanced human immunodeficiency virus 3. Patients with acute liver disease; History of underlying haematological condition; 4. Elective planned change of renal replacement modality within the 12 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Serum albumin | baseline to 24 weeks |
Countries
United Kingdom