Current Trends in Hemodialysis Therapy
There are approximately 100,000 patients on dialysis in the U.S. Hemodialysis techniques appear to be in a stagnant phase in comparison to other medical achievements made between 1960-1980. However, despite the lack of major breakthroughs in the management of end stage renal disease, a steady improvement in technology has occurred.
This article describes our experience of chronic dialysis patients managed at our center over many years, with emphasis on certain longterm complications associated with dialysis treatment and end stage renal disease. The biochemical abnormalities in these patients included chronic anemia (HCT 24.9% ± 4.97), secondary hyperparathyroidism, metabolic acidosis and hyperphosphatemia. The majority of our patients received adequate dialysis as assessed by measuring KT/V, the dialysis index.
Current strategies in the management of end stage renal disease patients consist of administering correct prescription dialysis (KT/V), parenteral Vitamin D3 (1,25(OH2)D3), Erythropoetin (R-HuEPO) and high flux dialysis with bicarbonate dialysate. The future for dialysis patients is promising because R-HuEPO and high flux dialysis techniques will soon be widely available, which will dramatically improve both the patient's physical well-being and rehabilitation potential.
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).