Pierratos Andreas
Humber River Regional Hospital, University of Toronto, Toronto, Ontario, Canada.
Curr Opin Nephrol Hypertens. 2002 Mar;11(2):165-71. doi: 10.1097/00041552-200203000-00006.
The interest in daily hemodialysis in the form of short daily hemodialysis and nocturnal hemodialysis has continued to increase over the past few years. A significant number of publications support the evidence for improved outcomes in most of the study areas, including financial benefits. The increased direct cost of the provision of daily hemodialysis seems to be the main obstacle to the wider acceptance of these methods. Convincing data of improved outcomes and evidence of cost efficiency of daily hemodialysis are being generated. These data may increase the interest of the institutional payors as well as of the dialysis industry to create the proper infrastructure for the use of daily hemodialysis. These dialysis regimens promise to have a major impact on the management of end-stage renal disease.
在过去几年中,人们对以短程每日血液透析和夜间血液透析形式进行的每日血液透析的兴趣持续增长。大量出版物支持了在大多数研究领域中改善治疗效果的证据,包括经济效益。提供每日血液透析增加的直接成本似乎是这些方法更广泛应用的主要障碍。目前正在产生关于每日血液透析改善治疗效果和成本效益的令人信服的数据。这些数据可能会增加机构付款人和透析行业对创建使用每日血液透析的适当基础设施的兴趣。这些透析方案有望对终末期肾病的管理产生重大影响。