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国际每日透析注册中心:2008年年报

The International Quotidian Dialysis Registry: Annual report 2008.

作者信息

Nesrallah Gihad E, Suri Rita S, Moist Louise M, Ofsthun Norma J, Hakim Raymond, McDonald Stephen P, Marshall Mark R, Carter Shannon T, Lindsay Robert M

机构信息

Department of Nephrology, Humber River Regional Hospital, Toronto, Ontario, Canada.

出版信息

Hemodial Int. 2008 Jul;12(3):281-9. doi: 10.1111/j.1542-4758.2008.00268.x.

Abstract

Alternative hemodialysis (HD) schedules, including short-daily and nocturnal HD, continue to proliferate, with the hope of offering improved patient outcomes. Three nights per week and every other night, nocturnal HD are now being provided to more patients worldwide, both at home and in-center. However, alternative HD schedules are still experimental in most centers, and studies establishing the efficacy of these therapies with respect to major clinical outcomes are needed. Endorsed by the National Institutes of Health, the International Quotidian Dialysis Registry is an international collaboration that was established in 2002 to prospectively study large numbers of patients treated with alternate HD schedules. The Registry will ultimately allow alternate HD modalities to be compared to conventional thrice-weekly HD with respect to clinical endpoints, including mortality, using a prospective cohort study. To date, the Registry has enrolled 182, 1193, and 740 subjects from Canada, the United States, and Australia, respectively. This report is the fourth annual update and describes recruitment progress, baseline characteristics of enrolled patients, and worldwide prescription patterns.

摘要

包括每日短时血液透析和夜间血液透析在内的替代血液透析(HD)方案不断增加,人们希望这些方案能改善患者预后。目前,每周三次夜间血液透析和隔天夜间血液透析正在全球范围内为更多患者提供,包括居家患者和中心透析患者。然而,在大多数中心,替代血液透析方案仍处于试验阶段,因此需要开展研究以确定这些疗法在主要临床结局方面的疗效。国际每日血液透析注册研究由美国国立卫生研究院支持,是一项国际合作项目,于2002年设立,旨在对大量接受替代血液透析方案治疗的患者进行前瞻性研究。该注册研究最终将通过前瞻性队列研究,就包括死亡率在内的临床终点,将替代血液透析模式与传统的每周三次血液透析进行比较。迄今为止,该注册研究已分别从加拿大、美国和澳大利亚招募了182名、1193名和740名受试者。本报告是第四次年度更新,描述了招募进展、已入组患者的基线特征以及全球的处方模式。

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