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Clinical evidence on haemodiafiltration

  • Peter J. Blankestijn*
  • , Muriel P. Grooteman
  • , Menso J. Nube
  • , Michiel L. Bots
  • *Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Haemodiafiltration (HDF) combines diffusive and convective solute removal in a single treatment session. HDF provides a greater removal of higher molecular weight uraemic retention solutes than conventional high-flux haemodialysis (HD). Recently completed randomized clinical trials suggest better patient survival with online HDF. The treatment is mainly used in Europe and Japan. This review gives a brief overview of the presently available evidence of the effects of HDF on clinical end points, it speculates on possible mechanisms of a beneficial effect of HDF as compared with standard HD and ends with some perspectives for the future.

Keywords

  • chronic hemodialysis
  • clinical outcome
  • hemodiafiltration
  • online hemodiafiltration
  • review

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