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Current Updates and Advances in Hemodialysis

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Nephrology & Urology".

Deadline for manuscript submissions: 31 October 2025 | Viewed by 775

Special Issue Editor


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Guest Editor
Department of Nephrology, Medical Academy, Lithuanian University of Health Sciences, Eivenių 2, LT-50161 Kaunas, Lithuania
Interests: chronic kidney disease; acute kidney injury; kidney replacement therapy; hemodialysis; peritoneal dialysis

Special Issue Information

Dear Colleagues,

Hemodialysis is a key treatment for end-stage kidney disease and severe acute kidney injury. Despite advancements in technology, patient care protocols, and outcomes, challenges like vascular access, dialysis adequacy, quality of life, and long-term complications remain. The field continues to be a major area of research, focusing on improving treatment options, enhancing safety, and developing more personalized care strategies.

This Special Issue aims to explore the latest advancements in hemodialysis, focusing on cutting-edge research and new technologies. Topics of interest include, but are not limited to, innovative dialysis techniques, new dialysis membranes, dialysis-related complications, and patient-centered care. The goal is to provide a comprehensive overview of current trends, clinical applications, and future directions.

Recent studies highlight promising innovations, such as biocompatible membranes, wearable dialysis devices, and personalized treatment regimens. Research on dialysis adequacy, optimal timing, and individualized strategies is advancing rapidly, alongside efforts to reduce morbidity and mortality. Breakthroughs in vascular access and monitoring technologies are poised to transform clinical practice.

We invite original research articles, clinical studies, and reviews that address the latest advancements and trends in hemodialysis, focusing on improving patient outcomes and the dialysis process.

Dr. Edita Žiginskienė
Guest Editor

Manuscript Submission Information

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Keywords

  • kidney replacement therapy
  • hemodialysis
  • hemodiafiltration
  • vascular access
  • dialysis membranes
  • dialysis complications
  • dialysis adequacy
  • outcomes

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Published Papers (1 paper)

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Research

16 pages, 1496 KB  
Article
Empowering CKD and Hemodialysis Patients with mHealth: Implementation of the NephroGo App in Europe
by Giedrė Žulpaitė, Karolis Vyčius, Urtė Deinoravičiūtė, Edita Saukaitytė-Butvilė, Laurynas Rimševičius and Marius Miglinas
J. Clin. Med. 2025, 14(17), 6219; https://doi.org/10.3390/jcm14176219 - 3 Sep 2025
Viewed by 459
Abstract
Background/Objectives: Chronic kidney disease (CKD) requires intensive dietary and lifestyle management, yet patient engagement and access to tailored education remain limited, particularly outside clinical settings. This study describes the development and implementation of NephroGo, and evaluates its usability, user engagement, and perceived acceptability [...] Read more.
Background/Objectives: Chronic kidney disease (CKD) requires intensive dietary and lifestyle management, yet patient engagement and access to tailored education remain limited, particularly outside clinical settings. This study describes the development and implementation of NephroGo, and evaluates its usability, user engagement, and perceived acceptability among patients with CKD. Methods: The app was developed based on clinical and dietary guidelines, incorporating personalized nutrient recommendations, dialysis tracking, and educational content. Technically, it features a Django backend, Flutter mobile frontend, and secure cloud-based hosting. User feedback was collected through one-time interviews (n = 10) and a standardized Mobile App Rating Scale (MARS) survey (n = 32). Longitudinal usage data over four years were also analyzed. Results: Initially, NephroGo was downloaded by 204 users, of whom 93.6% were considered active users based on defined behavioral engagement thresholds. Over a four-year period, the app accumulated a total of 1670 downloads. This study focuses on evaluating user engagement, usability, and perceived acceptability of the NephroGo app over a four-year period. Most users were female (52.3%) and aged 30–65. Stage 5 CKD patients and those undergoing peritoneal dialysis (PD) had the highest engagement. The most-used feature was the personalized nutrition calculator, with sodium being the most frequently exceeded nutrient. The average MARS score was 4.09 ± 0.66, with functionality rated highest (4.27 ± 0.74). App ratings were significantly higher among users referred by physicians (p = 0.039). Conclusions: NephroGo offers a scalable digital tool to support dietary management and health monitoring, with potential to complement standard nephrology care in a resource-conscious manner. Full article
(This article belongs to the Special Issue Current Updates and Advances in Hemodialysis)
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