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Author Topic: Night Home Haemo vs Cadaveric Transplant  (Read 2296 times)
Henry P Snicklesnorter
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« on: February 25, 2011, 06:32:43 PM »

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« Last Edit: October 22, 2013, 09:53:01 PM by Henry P Snicklesnorter » Logged
MooseMom
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« Reply #1 on: February 25, 2011, 09:18:53 PM »

Yes yes yes yes yes yes yes yes!!!  Longer, slower and more frequent dialysis is the very best dialysis you can get.  If you can get it in a clinic, then you are blessed, but most people here in the US have to dialyze at home if they want optimal dialysis.  Yes, it IS TRUE...frequent nocturnal dialysis gives clinical results as good as those with cadaveric transplants.  There is a LOT of medical literature about this.  Have you seen Dr. John Agar's website? 

www.nocturnaldialysis.org

This website taught me more about the biomechanics of dialysis than any other source.  Dr. Agar is nocturnal dialysis enthusiast, and you can see why!
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"Eggs are so inadequate, don't you think?  I mean, they ought to be able to become anything, but instead you always get a chicken.  Or a duck.  Or whatever they're programmed to be.  You never get anything interesting, like regret, or the middle of last week."
greg10
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« Reply #2 on: February 25, 2011, 09:39:34 PM »

..

Published in Nephrology Dialysis Transplantation, the study followed a total of 1,239 patients for up to 12 years..
http://ndt.oxfordjournals.org/content/24/9/2915.full

Quote
Results. The total study population consisted of 177 NHD patients matched to 1062 DTX and LTX recipients (total 1239 patients) followed for a maximum of 12.4 years. During the follow-up period, the proportion of deaths among NHD, DTX and LTX patients was 14.7%, 14.3% and 8.5%, respectively (P = 0.006). We found no difference in the adjusted survival between NHD and DTX (HR 0.87, 95% CI 0.50–1.51; NHD reference group), while LTX survival was better (HR 0.51, 95% CI 0.28–0.91).
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Newbie caretaker, so I may not know what I am talking about :)
Caretaker for my elderly father who has his first and current graft in March, 2010.
Previously in-center hemodialysis in national chain, now doing NxStage home dialysis training.
End of September 2010: after twelve days of training, we were asked to start dialyzing on our own at home, reluctantly, we agreed.
If you are on HD, did you know that Rapid fluid removal (UF = ultrafiltration) during dialysis is associated with cardiovascular morbidity?  http://ihatedialysis.com/forum/index.php?topic=20596
We follow a modified version: UF limit = (weight in kg)  *  10 ml/kg/hr * (130 - age)/100

How do you know you are getting sufficient hemodialysis?  Know your HDP!  Scribner, B. H. and D. G. Oreopoulos (2002). "The Hemodialysis Product (HDP): A Better Index of Dialysis Adequacy than Kt/V." Dialysis & Transplantation 31(1).   http://www.therenalnetwork.org/qi/resources/HDP.pdf
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