Optimal Hemodialysis Prescription : Do Children Need More Than a Urea Dialysis Dose?

Abstract EN

When prescribing hemodialysis in children, the clinician should first establish an adequate regimen, before seeking to optimize the treatment (Fischbach et al.

2005).

A complete dialysis dose should consist of a urea dialysis dose and a determined convective volume.

Intensified and more frequent dialysis regimens should not be considered exclusively as rescue therapy.

Interestingly, a recent single-center study demonstrated that frequent on-line HDF provides an optimal dialysis prescription, both in terms of blood pressure control (and therefore avoidance of left ventricular hypertrophy), and catch-up growth, that is, no malnutrition or cachexia and less resistance to growth hormone.

Nevertheless, this one-center experience would benefit from a prospective randomized study.Erratum of “Optimal Hemodialysis Prescription: Do Children Need More Than a Urea Dialysis Dose?”dx.doi.org/10.4061/2011/702529