Table 1.
Parameter | Incremental HD | Standard HD |
HD frequency | Twice-weekly for 6 weeks followed by thrice-weekly | Thrice-weekly |
HD duration per session | 4 hours in the first 6 weeks, then as directed by patient’s nephrologist | Directed by patient’s nephrologist |
Adjuvant pharmacological therapy | Loop diuretic±thiazide diuretic Patiromer Sodium bicarbonate |
Directed by patient’s nephrologist |
Dialysate bath | Potassium 3 mEq/L, calcium 2.5 mEq/L. Concentrations are adjusted by patient’s nephrologist as clinically indicated | |
Blood flow | According to standard of care | |
Dialysate flow | 1.5 times blood flow rate | |
Volume removal | Ultrafiltration rate <13 mL/kg/hour | |
Other | Local practice and standard of care will be followed for anticoagulation, management of secondary hyperparathyroidism, management of hyperphosphataemia and management of iron deficiency and anaemia. |