Nocturnal HD vs. Transplant: Health-related Quality of Life Compared

In a small study, transplant candidates using nocturnal HD (n=41) and transplant patients (n=31) took the KDQOL-short-form survey of health-related quality of life (HRQOL). Those with transplants had significantly higher “effects” of kidney disease scores than those on nocturnal HD. The other domains were not significant. Read the abstract.

Read the abstract » | (added 2018-10-12)

Tags: Transplant, Nocturnal HD, Kdqol, HRQOL, Effects Of Kidney Disease

Metaanalysis of Nocturnal HD and Sleep Quality

Nine studies of 286 patients found significantly less sleep apnea and better O2 saturation—but less total sleep time—after switching from conventional to nocturnal HD. Prospective pre-post studies found improved sleep quality, but randomized trials did not. Read the abstract.

Read the abstract » | (added 2018-10-12)

Tags: Sleep Apnea, CHD, NHD, O2 Saturation, Nocturnal HD, Conventional HD, Sleep Quality

Head to Head: 8-hour Hemodialysis vs. 4-hour Hemodiafiltration

A randomized trial assigned 12 nocturnal HD patients to either two weeks of 8-hour HD or 4-hour HDF, followed by a crossover to the other option. Participants were also randomized to one of two dialyzers: a Fresenius FX80 or a Nipro Elisio. The 8-hour HD treatments removed significantly more urea and creatinine. But, the HDF removed more FGF23—and several other toxin levels were the same. The FX80 dialyzer cleared somewhat more B2M.

Read the abstract » | (added 2018-05-11)

Tags: Nocturnal HD, Extended hours Haemodialysis, Haemodiafiltration