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. 2021 May 24;11(5):e047596. doi: 10.1136/bmjopen-2020-047596

Table 1.

Elements of haemodialysis (HD) prescription and pharmacological therapy according to treatment allocation

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.