Incremental Hemodialysis, Residual Kidney Function, and Mortality Risk in Incident Dialysis Patients: A Cohort Study.

ABSTRACT:

Background

Maintenance hemodialysis is typically prescribed thrice weekly irrespective of a patient's residual kidney function (RKF). We hypothesized that a less frequent schedule at hemodialysis therapy initiation is associated with greater preservation of RKF without compromising survival among patients with substantial RKF.

Study design

A longitudinal cohort.

Setting & participants

23,645 patients who initiated maintenance hemodialysis therapy in a large dialysis organization in the United States (January 2007 to December 2010), had available RKF data during the first 91 days (or quarter) of dialysis, and survived the first year.

Predictor

Incremental (routine twice weekly for >6 continuous weeks during the first 91 days upon transition to dialysis) versus c

SUBMITTER: Obi Y 

PROVIDER: S-EPMC4969165 | biostudies-literature | 2016 Aug

REPOSITORIES: biostudies-literature