Ultrafiltration intensification in hemodialysis patients improves hypertension but increases AV fistula complications and cardiovascular events

Journal of Nephrology

Volumn 24, Issue 4, 2011, Pages 465-473

  Curatola, Giuseppe ^a   Bolignano, Davide ^a   Rastelli, Stefania ^a   Caridi, Graziella ^a   Tripepi, Rocco ^a   Tripepi, Giovanni ^a   Politi, Raffaele ^a   Catalano, Francesco ^a   Delfino, Diego ^a   Ciccarelli, Maurizio ^a   Mallamaci, Francesca ^a   Zoccali, Carmine ^a  

^a CNR   (Italy)

Author keywords

Dialysis; Hemodialysis; Hypertension; Ultrafiltration; Volume expansion

Indexed keywords

ADULT; ARTERIOVENOUS FISTULA; ARTICLE; CARDIOVASCULAR DISEASE; CLINICAL EFFECTIVENESS; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; FEMALE; FLUID INTAKE; HEMODIALYSIS; HOSPITALIZATION; HUMAN; HYPERTENSION; HYPOTENSION; MAJOR CLINICAL STUDY; MALE; NUTRITION EDUCATION; PATIENT COMPLIANCE; PATIENT EDUCATION; SODIUM RESTRICTION; ULTRAFILTRATION; WEIGHT REDUCTION;

ADULT; AGED; ARTERIOVENOUS SHUNT, SURGICAL; BLOOD PRESSURE; CARDIOVASCULAR DISEASES; DIET, SODIUM-RESTRICTED; EXTRACELLULAR FLUID; FEMALE; HEMODIAFILTRATION; HOSPITALIZATION; HUMANS; HYPERTENSION; KIDNEY FAILURE, CHRONIC; MALE; MIDDLE AGED; PATIENT EDUCATION AS TOPIC; RENAL DIALYSIS;

EID: 79960335026     PISSN: 11218428     EISSN: 17246059     Source Type: Journal    
DOI: 10.5301/JN.2011.7735     Document Type: Article

References (24)

1. Levin NW, Kotanko P, Eckardt KU, et al. Blood pressure in chronic kidney disease stage 5D-report from a Kidney Disease: Improving Global Outcomes controversies conference. Kidney Int. 2010;77:273-284. doi:10.1038/ki.2009.469.
2. Charra B. Fluid balance, dry weight, and blood pressure in dialysis. Hemodial Int. 2007;11:21-31. doi:10.1111/j.1542-4758.2007.00148.x.
3. Barnett T, Li YT, Pinikahana J, Si-Yen T. Fluid compliance among patients having haemodialysis: can an educational programme make a difference? J Adv Nurs. 2008;:61.
4. Christensen AJ, Smith TW, Turner CW, Holman JM Jr, Gregory MC, Rich MA. Family support, physical impairment, and adherence in hemodialysis: an investigation of main and buffering effects. J Behav Med. 1992;15:313-325. doi:10.1007/ BF00844725.
5. Agarwal R, Alborzi P, Satyan S, Light RP. Dry-weight reduction in hypertensive hemodialysis patients (DRIP): a randomized, controlled trial. Hypertension. 2009 Mar;53(3):500-7.
6. Kalantar-Zadeh K, Kilpatrick RD, McAllister CJ, Greenland S, Kopple JD. Reverse epidemiology of hypertension and cardiovascular death in the hemodialysis population: the 58th annual fall conference and scientific sessions. Hypertension. 2005;45:811-817. doi:10.1161/01. HYP.0000154895.18269.67.
7. Port FK, Hulbert-Shearon TE, Wolfe RA, et al. Predialysis blood pressure and mortality risk in a national sample of maintenance hemodialysis patients. Am J Kidney Dis. 1999;33:507-517. doi:10.1016/S0272-6386(99)70188-5.
8. K/DOQI Workgroup. K/DOQI clinical practice guidelines for cardiovascular disease in dialysis patients. Am J Kidney Dis. 2005;45(Suppl 3):S1-S153. doi:10.1053/j.ajkd.2005.02.002
9. Charra B, Bergström J, Scribner BH. Blood pressure control in dialysis patients: importance of the lag phenomenon. Am J Kidney Dis. 1998;32:720-724. doi:10.1016/S0272-6386(98)70147-7.
10. Zoccali C, Mallamaci F, Tripepi G, et al; on behalf of the CREED investigators. Prediction of left ventricular geometry by clinic, pre-dialysis and 24-h ambulatory BP monitoring in hemodialysis patients: CREED investigators. J Hypertens. 1999;17(12 Pt 1):1751-1758. doi:10.1097/00004872-199917120-00013.
11. Piccoli A, Rossi B, Pillon L, Bucciante G. A new method for monitoring body fluid variation by bioimpedance analysis: the RXc graph. Kidney Int. 1994;46:534-539. doi:10.1038/ ki.1994.305.
12. Charra B, Calemard E, Ruffet M, et al. Survival as an index of adequacy of dialysis. Kidney Int. 1992;41:1286-1291. doi:10.1038/ki.1992.191.
13. Chan CT, Floras JS, Miller JA, Richardson RM, Pierratos A. Regression of left ventricular hypertrophy after conversion to nocturnal hemodialysis. Kidney Int. 2002;61:2235-2239. doi:10.1046/j.1523-1755.2002.00362.x.
14. Shaldon S, Ozkahya M, Ok E, Basci A, Dorhout Mees EJ. The long forgotten salt factor. Kidney Int. 2008;74:963-964 [author reply 964-965]. doi:10.1038/ki.2008.365.
15. Ozkahya M, Töz H, Unsal A, et al. Treatment of hypertension in dialysis patients by ultrafiltration: role of cardiac dilatation and time factor. Am J Kidney Dis. 1999;34:218-221. doi:10.1016/S0272-6386(99)70346-X.
16. Cummings KM, Becker MH, Kirscht JP, Levin NW. Psychosocial factors affecting adherence to medical regiments in a group of hemodialysis patients. Med Care. 1982;20:567-580. doi:10.1097/00005650-198206000-00003.
17. Bame SI, Petersen N, Wray NP. Variation in hemodialysis patient compliance according to demographic characteristics. Soc Sci Med. 1993;37:1035-1043. doi:10.1016/0277-9536(93)90438-A.
18. Morduchowicz G, Sulkes J, Aizic S, Gabbay U, Winkler J, Boner G. Compliance in hemodialysis patients: a multivariate regression analysis. Nephron. 1993;64:365-368. doi:10.1159/000187355.
19. Kara B, Caglar K, Kilic S. Nonadherence with diet and fluid restrictions and perceived social support in patients receiving hemodialysis. J Nurs Scholarsh. 2007;39:243-248. doi:10.1111/j.1547-5069.2007.00175.x.
20. Yokoyama Y, Suzukamo Y, Hotta O, et al. Dialysis staff encouragement and fluid control adherence in patients on hemodialysis. Nephrol Nurs J. 2009;36:289-297.
21. Christensen AJ, Smith TW, Turner CW, Holman JM Jr, Gregory MC, Rich MA. Family support, physical impairment, and adherence in hemodialysis: an investigation of main and buffering effects. J Behav Med. 1992;15:313-325. doi:10.1007/ BF00844725.
22. Flythe JE, Kimmel SE, Brunelli SM. Rapid fluid removal during dialysis is associated with cardiovascular morbidity and mortality. Kidney Int. 2011;79:250-257. doi:10.1038/ ki.2010.383.
23. Vandenbroucke JP. What is the best evidence for determining harms of medical treatment? CMAJ. 2006;174:645-646. doi:10.1503/cmaj.051484.
24. Chertow GM, Levin NW, Beck GJ, et al; FHN Trial Group. In-center hemodialysis six times per week versus three times per week. N Engl J Med. 2010;363:2287-2300. doi:10.1056/ NEJMoa1001593.