[Incremental hemodialysis « less is more » also when starting hemodialysis ?].

When initiating hemodialysis, incremental hemodialysis takes into account the residual kidney function (RKF) and adds a dialysis regimen to achieve a satisfactory clearance and ultrafiltration. This approach allows less frequent or shorter dialysis sessions than the standard of 3 sessions per week regimen. It is associated with multiple benefits for the patient. However, RKF has to be monitored regularly to enable the dialysis regimen to be adapted accordingly in order to avoid under-dialysis.