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Iran J Kidney Dis. 2020 May;14(3):219-223.
It is not known whether there are any differences in dialysis outcomes of hemodialysis patients on Monday, Wednesday and Friday (MWF) schedule and patients on Tuesday, Thursday and Saturday (TTS) schedules. Patients on TTS schedule who receive one of the treatments on weekends may have worse outcomes compared with patients on MWF schedule as a result of weekend effect. In this study we compared the mortality and clinical performance measures for hemodialysis care, between patients on these two different hemodialysis schedules.
This single center study was conducted on chronic hemodialysis patients above 18 years of age at the time of initiation of hemodialysis who were under thrice weekly hemodialysis treatment for at least 12 months. Mortality and hemodialysis related quality indices were retrospectively compared between patients on MWF or TTS schedules.
A total of 188 patients (114 male and 74 female) were included. The mean age of the patients at the start of dialysis was 50.9 ± 18.4 years and median hemodialysis vintage was 60.5 (12 to 369) months. Ninety-nine patients were on MWF schedule and 89 patients were on TTS schedule. More patients on MWF schedule reached the target laboratory values and patients on MWF schedule had a survival advantage compared with patients on TTS schedule.
Hemodialysis patients on MWF schedule may receive higher quality of care and may have better outcomes compared with patients on TTS schedule.
目前尚不清楚周一、周三和周五（MWF）方案与周二、周四和周六（TTS）方案的血液透析患者在透析结果方面是否存在差异。由于周末效应，接受周末治疗的 TTS 方案患者的预后可能比 MWF 方案患者差。在这项研究中，我们比较了这两种不同血液透析方案的血液透析患者的死亡率和临床表现。
这项单中心研究纳入了在开始血液透析时年龄大于 18 岁且至少接受了 12 个月每周三次血液透析治疗的慢性血液透析患者。回顾性比较了 MWF 或 TTS 方案患者的死亡率和血液透析相关质量指标。
共纳入 188 例患者（男 114 例，女 74 例）。透析开始时患者的平均年龄为 50.9 ± 18.4 岁，中位数血液透析时间为 60.5（12-369）个月。99 例患者采用 MWF 方案，89 例患者采用 TTS 方案。MWF 方案的患者达到目标实验室值的比例更高，且与 TTS 方案的患者相比，MWF 方案的患者有生存优势。
与 TTS 方案相比，MWF 方案的血液透析患者可能接受了更高质量的护理，并且具有更好的预后。
