The January 2002 edition of "Dialysis and Transplantation" Vol. 31, Number 1 (THE journal) has
an article by Belding Scribner (THE guru of Haemodialysis) and Dimitrios Oreopoulos (THE guru
of Peritoneal Dialysis) . They propose a better measure of dialysis adequacy than Kt/V.

They propose "The Haemodialysis Product", HDP as the better measure of dialysis adequacy.

HDP = hours per run X (runs per week)squared.

By this they declare the common 4 hours by 3 times per week = 36 = INADEQUATE.

Slow Nocturnal Dialysis using 8 hours by 6 times per week = 288 = BEST SO FAR.

Visit www.nocturnal-dialysis.com for further information about programmes outside North
America

[QUOTE]Originally posted by Alan in Oz:
[B]The January 2002 edition of "Dialysis and Transplantation" Vol. 31, Number 1 (THE journal) has
an article by Belding Scribner (THE guru of Haemodialysis) and Dimitrios Oreopoulos (THE guru
of Peritoneal Dialysis) . They propose a better measure of dialysis adequacy than Kt/V.

They propose "The Haemodialysis Product", HDP as the better measure of dialysis adequacy.

HDP = hours per run X (runs per week)squared.

By this they declare the common 4 hours by 3 times per week = 36 = INADEQUATE.

Slow Nocturnal Dialysis using 8 hours by 6 times per week = 288 = BEST SO FAR.

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I think we can all agree that more hours of dialysis is better. But I would be interested to know more about how they got their formula. Why squared?

And how can that "formula" possibly be complete? It does not take into account the blood pump speed which would quantify the superiority of the Nocturnal Dialysis.