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Healthcare 2017, 5(3), 52; https://doi.org/10.3390/healthcare5030052

The Impact of Hemodialysis Frequency and Duration on Blood Pressure Management and Quality of Life in End-Stage Renal Disease Patients

1
Division of General Internal Medicine, Department of Medicine, Toronto General Hospital, Toronto, ON M2G 2C4, Canada
2
Pars Advanced and Minimally Invasive Manners Research Center, Pars Hospital Department of Nephrology, Iran University of Medical Sciences, Tehran 1449614535, Iran
*
Author to whom correspondence should be addressed.
Academic Editors: Joanne Reid and Helen Noble
Received: 21 July 2017 / Revised: 22 August 2017 / Accepted: 29 August 2017 / Published: 2 September 2017
(This article belongs to the Special Issue The Socio-Economic Impact of End Stage Kidney Disease)
Full-Text   |   PDF [181 KB, uploaded 2 September 2017]

Abstract

Cardiovascular complications are the most prominent causes of morbidity and mortality among chronic kidney disease (CKD) and end-stage renal disease (ESRD) patients undergoing standard hemodialysis (HD) therapy. Cardiovascular disease risk is increased significantly through persistent hypertension and blood pressure (BP) fluctuation, which are the most common complications of CKD. It was hypothesized that an extended approach with lengthier and more frequent dialysis sessions, referred to in this paper as “extended hemodialysis” (EHD), can potentially lower and stabilize blood pressure, and consequently reduce the rate of morbidity and mortality. A greater reduction of volume (salt and water) with higher frequency can improve patient quality of life (QOL). Eleven papers, including clinical trials and systematic reviews were chosen and analyzed. The extracted data was used to evaluate the change in blood pressure levels between standard HD and EHD. Overall, the studies showed that EHD resulted in improved blood pressure management; therefore, we concluded that there will be a decrease in cardiovascular disease risk, stroke, and morbidity and mortality rate. There will be also an improvement in patient QOL due to beneficial effects of the EHD. View Full-Text
Keywords: hemodialysis; blood pressure; End Stage Renal Disease; quality of life hemodialysis; blood pressure; End Stage Renal Disease; quality of life
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Shafiee, M.A.; Chamanian, P.; Shaker, P.; Shahideh, Y.; Broumand, B. The Impact of Hemodialysis Frequency and Duration on Blood Pressure Management and Quality of Life in End-Stage Renal Disease Patients. Healthcare 2017, 5, 52.

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