End Stage Renal Disease Clinical Trial
Official title:
Ultrafiltration Profiling and Outcomes Among Individuals on Maintenance Hemodialysis
The rate of fluid removal (ultrafiltration, UF) during hemodialysis (HD) may contribute to
cardiovascular morbidity and mortality among individuals receiving maintenance HD. More rapid
UF rates are associated with higher morbidity and mortality. Ultrafiltration profiling, the
practice of varying UF rates to maximize fluid removal during periods of greatest hydration
and plasma oncotic pressures, is one treatment modification that may reduce UF-related harm
without necessitating reduction in interdialytic fluid intake or longer HD treatments. To
date, UF profiling has not been adequately studied independent of sodium profiling.
This study investigates the comparative effect of UF profiling versus non-profiled
conventional HD on select cardiovascular and patient-reported outcomes. Participants will
complete two phases of UF profiling and two phases of conventional HD and will act as their
own controls.
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