Twice vs Thrice Weekly Hemodialysis: Clinical Outcomes and Quality of Life
Clinical Outcomes and Health-Related Quality of Life in Patients Receiving Twice- Versus Thrice-Weekly Maintenance Hemodialysis: A Prospective Comparative Study
Studieoversigt
Status
Status
Betingelser
Betingelser
Detaljeret beskrivelse
Thrice-weekly maintenance hemodialysis is the conventional schedule. Twice-weekly hemodialysis is used selectively in patients with residual kidney function. Local prospective comparative data in Egypt are limited.
This observational study will include adults with end-stage kidney disease receiving established twice-weekly or thrice-weekly in-center maintenance hemodialysis. Patients will be followed according to their prescribed schedule without research-driven changes. Health-related quality of life will be assessed using the Arabic KDQOL-36 at baseline, 3 months, and 6 months. Clinical outcomes including adequacy, residual kidney function, hospitalization, and mortality will be recorded.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Justin g shawky, Resident
- Telefonnummer: 01281006606
- E-mail: Justen.18313387@med.aun.edu.eg
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Prøveudtagningsmetode
Studiebefolkning
Beskrivelse
Inclusion Criteria:
- - Age 18 years or older
- Established end-stage kidney disease requiring maintenance hemodialysis
- Receiving in-center maintenance hemodialysis at Assiut University Hospitals
- On maintenance hemodialysis for at least one month before enrollment
- Established twice-weekly or thrice-weekly schedule prescribed by the treating team
- Clinically stable at recruitment
- Able to understand and respond to the questionnaire
- Written informed consent
Exclusion Criteria:
- - Acute kidney injury without established end-stage kidney disease
- Hemodialysis for less than one month
- Peritoneal dialysis or kidney transplantation during follow-up
- Acute severe illness requiring intensive care at recruitment
- Severe cognitive, psychiatric or neurological impairment preventing reliable questionnaire responses
- Active malignancy with expected survival too short to complete follow-up
- Temporary dialysis solely for an acute indication
- Refusal to participate
- Permanent transfer to another dialysis center during follow-up
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Antal grupper/kohorter
Kohorter og interventioner
Gruppe / kohorteGruppe / kohorte |
|---|
|
Twice-weekly hemodialysis
Adults receiving established twice-weekly maintenance hemodialysis.
|
|
Thrice-weekly hemodialysis
Adults receiving established thrice-weekly maintenance hemodialysis.
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Health-related quality of life score
Tidsramme: At baseline, 3 months, and 6 months
|
Mean total score of the Arabic Kidney Disease Quality of Life-36 (KDQOL-36) questionnaire.
The KDQOL-36 score ranges from 0 to 100; higher scores indicate better health-related quality of life.
|
At baseline, 3 months, and 6 months
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Dialysis adequacy
Tidsramme: Up to 6 months
|
Mean single-pool Kt/V (for thrice-weekly) or weekly Kt/V incorporating residual kidney clearance (for twice-weekly).
|
Up to 6 months
|
|
Residual urine output
Tidsramme: Up to 6 months
|
Mean daily urine volume (mL/day) in patients with residual kidney function.
|
Up to 6 months
|
|
Hospitalization rate
Tidsramme: Up to 6 months
|
Proportion of patients requiring hospital admission during follow-up.
|
Up to 6 months
|
|
Interdialytic weight gain
Tidsramme: Up to 6 months
|
Mean interdialytic weight gain (kg).
|
Up to 6 months
|
|
Mortality
Tidsramme: Up to 6 months
|
Proportion of patients who die during the follow-up period.
|
Up to 6 months
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studiestol: marwa k abdo, prof, Internal Medicine Department, Assiut University Hospitals
Publikationer og nyttige links
Generelle publikationer
- Ackerman SD, Monk KR. The scales and tales of myelination: using zebrafish and mouse to study myelinating glia. Brain Res. 2016 Jun 15;1641(Pt A):79-91. doi: 10.1016/j.brainres.2015.10.011. Epub 2015 Oct 20.
- Hastaoglu F, Mollaoglu M. The effects of activities of daily living education on the independence and life satisfaction of elders. Perspect Psychiatr Care. 2022 Oct;58(4):2978-2985. doi: 10.1111/ppc.13149. Epub 2022 Aug 27.
- He XK, Su TT, Si JM, Sun LM. Metformin Is Associated With Slightly Reduced Risk of Colorectal Cancer and Moderate Survival Benefits in Diabetes Mellitus: A Meta-Analysis. Medicine (Baltimore). 2016 Feb;95(7):e2749. doi: 10.1097/MD.0000000000002749.
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Urogenitale sygdomme
- Patologiske processer
- Mandlige urogenitale sygdomme
- Nyresygdomme
- Urologiske sygdomme
- Urogenitale sygdomme hos kvinder
- Kvinders urogenitale sygdomme og graviditetskomplikationer
- Kronisk sygdom
- Sygdomsegenskaber
- Nyreinsufficiens
- Nyreinsufficiens, kronisk
- Patologiske tilstande, tegn og symptomer
- Nyresvigt, kronisk
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- HD-Frequency-QoL-Assiut-2026
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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