Nocturnal Hemodialysis Improves Protein and Phosphorus Status

[okarol]

Nocturnal Hemodialysis Improves Protein and Phosphorus Status
Jody A. Charnow
October 31, 2009

This article is part of our ongoing coverage of Renal Week 2009.
Key Points

    * Patients who undergo in-center nocturnal hemodialysis (NHD) have improved protein and phosphorus status compared with those treated with in-center conventional hemodialysis (ICHD).
    * Serum albumin levels were significantly higher in NHD patients compared with the ICHD group.
    * Results lend support to prospective clinical trials to assess whether NHD affords direct survival benefits to patients, concluded researchers.

Patients who undergo in-center nocturnal hemodialysis (NHD) have improved protein and phosphorus status compared with those treated with in-center conventional hemodialysis (ICHD), a study shows.

Deborah A. Benner, MA, RD, National Director of Nutrition Services for DaVita, Inc., and collaborators compared 638 NHD patients with 90,267 ICHD patients. Serum albumin levels were significantly higher in NHD patients compared with the ICHD group (3.93 vs. 3.84 g/dL). A significantly higher percentage of NHD patients than ICHD patients achieved albumin levels of 3.5 g/dL or higher (91% vs. 82%), the investigators reported.

In addition, 65% of NHD patients achieved adequate serum phosphate levels (5.5 mg/dL or less) compared with 63% for ICHD patients, a significant difference between the groups. Serum calcium levels did not differ significantly in the two groups.

“Our findings in a large population of patients are consistent with the hypothesis that NHD, unlike ICHD, permits adequate protein intake without exacerbating hyperphosphatemia,” the authors concluded. “Given the known relationship between malnutrition, hyperphosphatemia, and mortality, our results lend support to prospective clinical trials to assess whether NHD affords direct survival benefits to patients.”

Posted Oct. 31, 2009 - 6:51 pm PT as an unedited blog

http://www.renalandurologynews.com/Nocturnal-Hemodialysis-Improves-Protein-and-Phosphorus-Status/article/156789/

[kitkatz]

It has sure helped mine.

[thegrammalady]

no blood pressure meds, low potasium and phos for me. i can't tink of a reason you could get me to go back to days!

[harv]

hi
Could someone explain in detail nocturnal dialysis to me as it is unheard of here in the Philippines
almost like PD here.
harv

[okarol]

hi
Could someone explain in detail nocturnal dialysis to me as it is unheard of here in the Philippines
almost like PD here.
harv

In the U.S., most patients hemodialyze for three to four hours, three times a week in a clinic. After studying dialysis treatment programs in different countries, it was discovered that the best outcomes were in France, where patients are hemodialyzed for eight hours, three days a week. This supported the idea that “more is better.”

But for American hemodialysis patients, eight hours of dialysis, three times a week would be a huge economic and social challenge. For this reason, nocturnal dialysis was created to give patients the option of dialyzing in-center for longer periods of time -- while sleeping. So patients can get the treatment they need and preserve their normal schedule of work, school and family activities.

more here http://www.aakp.org/aakp-library/Nocturnal-dialysis/