Frequent dialysis poses risks for kidney disease patients

February 7th, 2013 in Diseases, Conditions, Syndromes /

Compared with standard dialysis, frequent dialysis can cause complications related to repeated access to the blood, requiring patients to undergo more repair procedures to the site through which blood is removed and returned, according to a study appearing in an upcoming issue of the Journal of the American Society of Nephrology (JASN). The study provides important information for physicians and patients as they weigh different dialysis options.

Frequent hemodialysis requires accessing the blood more often than conventional hemodialysis. This is usually done via a long-lasting site through which blood can be removed and returned. While daily or nightly dialysis seems to improve patients' health and quality of life, it's not known whether it increases their risk of experiencing complications. For example, more frequent access use could theoretically cause increased trauma, more , and greater exposure to bacteria.

To investigate, Rita Suri, MD (Western University and Lawson Health Research Institute, in London, Canada) and her colleagues conducted two separate 12-month in which they randomly assigned 245 patients to receive either in-center daily hemodialysis (6 days/week) or conventional hemodialysis (3 days/week) and 87 patients to receive either home nocturnal hemodialysis (6 nights/week) or conventional hemodialysis. Three access events were recorded: repair, loss, and access-related hospitalizations.

Among the major findings:

"Our study is the first to show that dialyzing more frequently may have potential harmful effects on the hemodialysis vascular access. This has important implications for patients and physicians considering or performing frequent ," said Dr. Suri.

More information: The article, entitled "Increased Risk of Vascular Access Complications with Frequent Hemodialysis," will appear online on February 7, 2013, doi: 10.1681/ASN.2012060595

Provided by American Society of Nephrology

"Frequent dialysis poses risks for kidney disease patients." February 7th, 2013. http://medicalxpress.com/news/2013-02-frequent-dialysis-poses-kidney-disease.html