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Nephrol Dial Transplant (2001) 16: 1321-1324
© 2001 European Renal Association-European Dialysis and Transplant Association

Editorial Comments

Daily dialysis: is this a reasonable option for the new millennium?

The best way to predict the future is to create it. PETER F. DRUCKER (Austrian-born American economist)

Zbylut J. Twardowski

Division of Nephrology, Department of Medicine, University of Missouri, Columbia, Missouri

Keywords: daily dialysis; dialysis adequacy; hemeral haemodialysis; home haemodialysis; nocturnal haemodialysis; quotidian haemodialysis

Introduction

Chronic haemodialysis was introduced by Scribner and his collaborators in 1960 [1]. Initially two patients were dialysed for 24–76 h every 4–21 days on the Skeggs–Leonards (parallel plate) dialyser [2], but it became clear that the patients developed uraemic symptoms before the next dialysis, so dialysis frequency was increased to twice weekly [3]. Ultimately the frequency of haemodialysis was established as thrice weekly at the end of 1960s [4]. With the low-efficiency dialysers, the time of dialysis remained relatively long, up to 8 h. Such a schedule of 8 h, three times weekly dialysis continues to be practised in some centres, with excellent results [5].

Early attempts of short, frequent haemodialysis

In the late 1960s the hollow-fibre dialyser was designed [6,7], the efficiency of dialysis could be markedly increased and it became fashionable to increase efficiency and shorten dialysis time. However, short, . . . [Full Text of this Article]

Frequency/length of haemodialysis and clinical/laboratory results

Long-term programmes of short, daily haemodialysis

Recent programmes of short, daytime and long, nightly frequent haemodialysis

Impediments to the widespread use of quotidian haemodialysis

Machine for quotidian, home haemodialysis

Blood access in quotidian haemodialysis

Conclusions

Notes

References


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