#3096 Is a green nephrology possibile? a lower dialysate flow could not affect therapeutic efficacy in selected patients while saving billions of litres of water
Sign Up to like & getrecommendations! Published in 2025 at "Nephrology Dialysis Transplantation"
DOI: 10.1093/ndt/gfaf116.0584
Abstract: Many fields are shifting towards a more sustainable approach. This includes nephrology, with the rise of “Green Nephrology.” Dialysis, a lifesaving therapy for millions of patients, is undeniably one of the medical practices with the… read more here.
Keywords: nephrology; water; dialysis; dialysate flow ... See more keywords
Toward Green Dialysis: Efficacy and Sustainability with Reduced Dialysate Flow in Expanded Hemodialysis.
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DOI: 10.1159/000548892
Abstract: INTRODUCTION Reducing dialysate flow (Qd) to 400 mL/min has proven to be sufficient, safe, and effective in meeting dialysis adequacy requirements in adults, with the added advantage of decreasing water consumption per dialysis session. Expanded… read more here.
Keywords: 400 min; dialysate flow; dialysis; expanded hemodialysis ... See more keywords
Effect of reduced dialysate flow on dialysis adequacy: a pilot study.
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DOI: 10.1159/000549110
Abstract: The standard dialysate flow (Qd) for hemodialysis (HD) is currently set at 500 mL/min. One potential, sustainable and cost-effective solution for eco-friendly HD may involve reducing Qd to limit waterwaste. However, the effect of reduced… read more here.
Keywords: dialysate flow; dialysis adequacy; dialysis; effect reduced ... See more keywords
Efficacy in the reduction ratios of middle molecules with the use of medium cut-off dialyzers and reduced dialysate flows: a cohort study
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DOI: 10.3389/fmed.2025.1663750
Abstract: Introduction Expanded hemodialysis (HDx) enabled by Theranova increases the clearance of medium-sized molecules, improving clinical outcomes such as hospitalization and mortality. The objective of the study was to compare solute reduction ratios of medium-molecular-weight uremic… read more here.
Keywords: dialysate flow; dialysate; min; reduction ratios ... See more keywords
Predicting the Impact of Polysulfone Dialyzers and Binder Dialysate Flow Rate on Bilirubin Removal
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DOI: 10.3390/bioengineering11121262
Abstract: Liver failure is the 12th leading cause of death worldwide. Protein-bound toxins such as bilirubin are responsible for many complications of the disease. Binder dialysis systems use albumin or another binding molecule in dialysate and… read more here.
Keywords: polysulfone dialyzers; dialysate flow; rate; dialysis ... See more keywords
Effect of lower dialysate flow rates on quality of life and metabolic parameters in hemodialysis.
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DOI: 10.5414/cn111466
Abstract: INTRODUCTION This study explored the efficacy of lower dialysate flow rates (Qd300 mL/min) on quality of life (QoL) outcomes in end-stage renal disease (ESRD). MATERIALS AND METHODS A prospective trial was conducted in participants receiving… read more here.
Keywords: dialysate; dialysate flow; flow rates; quality life ... See more keywords