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Real-time dialysis dose monitoring technology will significantly improve patient outcomes and reduce hospital admissions 

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References

  1. Ross, E.A., et al. (2018). Interventions to improve hemodialysis adequacy: protocols based on real-time monitoring of dialysate solute clearance. Clinical Kidney Journal, 11(3), pp.394-399.
  2. Advanced Renal Education (2021) 'Vascular Access Monitoring and Surveillance – Advanced Renal Education Program'. Available at: https://advancedrenaleducation.com/wparep/article/vascular-access-monitoring-and-surveillance/ (Accessed: 18 February 2025).
  3. UK Kidney Association (2024) UK Renal Registry 26th Annual Report. Available at: https://ukkidney.org/sites/renal.org/files/publication/file-attachments/UKKA%2026th%20Annual%20Report%202024-07-07.pdf (Accessed: 7 July 2024).
  4. Uhlin F, et al. (2006). Dialysis dose (Kt/V) and clearance variation sensitivity using measurement of ultraviolet-absorbance (on-line), blood urea, dialysate urea and ionic dialysance. Nephrol Dial Transplant. Aug;21(8):2225-31.
  5. Daugirdas, J.T. and Tattersall, J.E. (2010) 'Automated monitoring of hemodialysis adequacy by dialysis machines: potential benefits to patients and cost savings', Kidney International, 78(9), pp. 833-835. doi: 10.1038/ki.2010.218.
  6. Ibrahim, S., Hossam, M. and Belal, D., (2015). Study of non-compliance among chronic hemodialysis patients and its impact on patients′ outcomes. Saudi Journal of Kidney Diseases and Transplantation, 26(2), pp.243-249.
  7. Zhang, L., Liu, W., Hao, C., et al. (2022) 'Ensuring hemodialysis adequacy by dialysis dose monitoring with UV spectroscopy analysis of spent dialyzate', The International Journal of Artificial Organs, 45(4), pp. 351–359.
  8. Streja E. (2017). Hospital readmission for the dialysis patient: who is (not) responsible? Kidney International [Internet]. [cited 2021 Apr 16];92(4):788–90. Available from: https://www.kidney-international.org/article/S0085-2538(17)30396-4/fulltext
  9. Xu, Y., Li, L., Evans, M., Xu, H., Lindholm, B. and Carrero, J.J. (2021) 'Burden and causes of hospital admissions and readmissions in patients undergoing hemodialysis and peritoneal dialysis: a nationwide study', Journal of Nephrology, 34(4), pp. 1949–1959. doi: 10.1007/s40620-021-01023-z.
  10. Mathew AT, Strippoli GFM, Ruospo M, Fishbane S. (2015). Reducing hospital readmissions in patients with end-stage kidney disease. Kidney International [Internet]; 88(6):1250–60. Available from: https://www.kidney-international.org/article/S0085-2538(15)61071-7/pdf.
  11. Chan KE, Lazarus JM, Wingard RL, Hakim RM. (2009). Association between repeat hospitalization and early intervention in dialysis patients following hospital discharge. Kidney International. 76(3):331–41.
  12. Brooke, B.S., Griffin, C.L., Kraiss, L.W., Kim, J. and Nelson, R. (2019) 'Cost-effectiveness of repeated interventions on failing arteriovenous fistulas', Journal of Vascular Surgery, 70(5), pp. 1620-1628.
  13. Murali, K.M. & Lonergan, M. (2020). 'Breaking the adherence barriers: Strategies to improve treatment adherence in dialysis patients', Seminars in Dialysis, 33(6), pp. 475-485. Available at: https://doi.org/10.1111/sdi.12925
  14. Hu, L., Wang, Z. & He, X. (2024). 'Hemodialysis dose and frequency should be considered in subgroup analysis', Cardiovascular Diabetology, 23, 416. Available at: https://doi.org/10.1186/s12933-024-02482-x
  15. Castellarnau, A., Werner, M., Günthner, R. and Jakob, M., (2010). Real-time Kt/V determination by ultraviolet absorbance in spent dialysate: technique validation. Kidney International, 78(9), pp.920-925.
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  17. National Institute for Health and Care Research (2024). Dialysis for kidney failure: evidence to improve care. [online] NIHR Evidence. Available at: https://evidence.nihr.ac.uk/collection/dialysis-for-kidney-failure-evidence-to-improve-care/
  18. Valliant, A., McComb, K. (2015). Vascular Access Monitoring and Surveillance: An Update. Advances in Chronic Kidney Disease, 22(6), pp. 446-452

Ensuring Dialysis Adequacy for Improved Patient Outcomes

Real-time dialysis dose monitoring

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