The NEJM recently published a widely acclaimed study on the elevated death rates of 32,065 hemodialysis patients on Monday and Tuesday after the long “killer weekend.” This is considered one of the most important medical studies Slide09 in the field of nephrology in 2011. The Renal Fellow Network does an annual survey on the most important clinical developments each year and then publishes the results in a top ten posting. This year, the NEJM elevated mortality with the long interdialytic interval article was rated as the third most important study in 2011. (here)
Long Interdialytic Interval and Mortality among Patients Receiving Hemodialysis
BACKGROUND: Patients with end-stage renal disease requiring dialysis have limited tolerance of metabolic and volume-related deviations from normal ranges; in addition, the prevalence of cardiovascular disease is high among such patients. Given these problems, we hypothesized that a long interdialytic interval is associated with adverse events in patients receiving hemodialysis.
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The Kjellstrand Lecture: The Deadly Delay – Part III: The Killer Weekend
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