A Hospital-Based Intermittent Nocturnal Hemodialysis Program for Children and Adolescents

Hoppé, Anne; Puttkamer, Christina von; Linke, Ursula; Kahler, Cindy; Booß, Martina; Braunauer-Kolberg, Renate; Hofmann, Katja; Joachimsky, Petra; Hirte, Ingrid; Schley, S; Utsch, Boris; Thumfart, Julia; Briese, Sonia; Gellermann, Jutta; Zimmering, Miriam; Querfeld, Uwe; Müller, Dominik

doi:10.1016/j.jpeds.2010.06.036

Cited by 45 publications

(31 citation statements)

References 32 publications

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“…According to the National Kidney Foundation Kidney Disease Outcomes Quality Initiative (NKD KDOQI) guidelines published in 2005, target BP values in children requiring chronic renal replacement are < 95 th percentile for sex, age and height [60]. Appropriate dry body weight can be achieved by intensifying dialysis: extending the time of dialysis session to 5-8 hours, performing 4-6 sessions per week, using periodic haemodiafiltration and/or nocturnal dialysis [61,62]. In patients on peritoneal dialysis, higher ultrafiltration can be achieved by using dialysis fluids with higher osmolality or fluids containing icodextrin [63].…”

Section: Hypertension In Patients On Dialysis Therapymentioning

confidence: 99%

Zalecenia Sekcji Pediatrycznej Polskiego Towarzystwa Nadciśnienia Tętniczego dotyczące postępowania diagnostycznego i terapeutycznego w nadciśnieniu tętniczym u dzieci i młodzieży

Litwin

Niemirska

Obrycki

et al. 2018

Arterial Hypertension

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Presented recommendations are an extended and actualized version of paediatric recommendations of Polish Society of Hypertension published in 2015. Since then, new studies have appeared on this subject, introducing a new classification of hypertension, newly described principles of management in risk groups and methods of assessing hypertensive target organ damage. The presented updated recommendations included changes introduced in the 2016 European Society of Hypertension recommendations and Recommendations of Children's Memorial Health Institute in Warsaw. Recently published guidelines of American Academy of Pediatrics have been discussed. In the presented issue of guidelines, epidemiological information on the occurrence and incidence of hypertension in developmental age was added and classification of blood pressure values was updated. Subchapters on diagnosis and organ damage assessment, principles of diagnosis and treatment of hypertension in children with diabetes, chronic kidney disease and a subsection discussing diagnostic and therapeutic difficulties with setting blood pressure targets were revised. In addition, the principles of early diagnosis of arterial hypertension in post-hospital care in children born before 33 weeks of gestation published in 2018 as recommendations of the Polish Neonatal Society have been also taken into account.

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Section: Hypertension In Patients On Dialysis Therapymentioning

confidence: 99%

Zalecenia Sekcji Pediatrycznej Polskiego Towarzystwa Nadciśnienia Tętniczego dotyczące postępowania diagnostycznego i terapeutycznego w nadciśnieniu tętniczym u dzieci i młodzieży

Litwin

Niemirska

Obrycki

et al. 2018

Arterial Hypertension

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“…Intensified dialysis programs for children and adolescents have been established in very few centers worldwide [37][38][39][40][41][42][43] (Table 2).…”

Section: Intensified Dialysis Programs For Children and Adolescentsmentioning

confidence: 99%

“…The concept of in-center NIHD in children and adolescents was established in Berlin, Germany, in 2005 [38]. In a first publication, 16 children and adolescents were prospectively investigated before and after switching from conventional HD to NIHD.…”

Section: Intensified Dialysis Programs For Children and Adolescentsmentioning

confidence: 99%

“…In a first publication, 16 children and adolescents were prospectively investigated before and after switching from conventional HD to NIHD. Since then the program has been carried out as an prospective observational study [38]. In this group of children, serum phosphate levels decreased from 2.1 to 1.4 mmol/l after the switch to NIHD despite a reduction in the use of phosphate binders.…”

Section: Intensified Dialysis Programs For Children and Adolescentsmentioning

confidence: 99%

“…After 4 months on NIHD, the general wellbeing improved by 13 %, social efficiency by 22 %, psychosocial well-being by 11 % and vitality by 12 %. Days absent from school declined from 37 days during the 6 months when the patient was on conventional dialysis to 12 days in 6 months after the switch to NIHD [38].…”

Section: Intensified Dialysis Programs For Children and Adolescentsmentioning

confidence: 99%

See 2 more Smart Citations

Nocturnal intermittent hemodialysis

Thumfart

Müller

2014

Pediatr Nephrol

Self Cite

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Preemptive renal transplantation is the method of choice for end stage renal disease in childhood and adolescence. However, without preemptive transplantation, waiting time for kidney transplantation might exceed several years. The poor quality of life and the extremely high morbidity and mortality rates of dialysis patients have led to the development of intensified hemodialysis programs in which the modes of dialysis (short daily, nocturnal intermittent or daily nocturnal) are different. Such programs have been shown to significantly improve several uremia-associated parameters, such as blood pressure, phosphate control, anemia and growth retardation, in both adult and pediatric (children and adolescents) patients and lead to a reduction in medications, including phosphate binders, erythropoietin and antihypertensive agents. Fluid limitations and dietary restrictions can also be lifted. With respect to psychosocial rehabilitation and quality of life, nocturnal intermittent dialysis programs provide a reasonable compromise of all forms of intensified programs. Experiences and practical approaches of our own in-center nocturnal intermittent hemodialysis program in the light of the recent publications are described in this review.

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Growth, Nutrition, and Development

Rees

2022

Evidence‐Based Nephrology

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A Hospital-Based Intermittent Nocturnal Hemodialysis Program for Children and Adolescents

Cited by 45 publications

References 32 publications

Zalecenia Sekcji Pediatrycznej Polskiego Towarzystwa Nadciśnienia Tętniczego dotyczące postępowania diagnostycznego i terapeutycznego w nadciśnieniu tętniczym u dzieci i młodzieży

Zalecenia Sekcji Pediatrycznej Polskiego Towarzystwa Nadciśnienia Tętniczego dotyczące postępowania diagnostycznego i terapeutycznego w nadciśnieniu tętniczym u dzieci i młodzieży

Nocturnal intermittent hemodialysis

Growth, Nutrition, and Development

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