High volume online hemodiafiltration: a global perspective and the Brazilian experience

Maria Eugenia Fernandes Canziani; Jorge Paulo Strogoff-de-Matos; Murilo Guedes; Ana Beatriz Lesqueves Barra; Sinaia Canhada; Luciana Carvalho; Douglas Gemente; Carlos Eduardo Poli-de-Figueiredo; Roberto Pecoits-Filho

doi:10.1590/2175-8239-JBN-2023-0104en

High volume online hemodiafiltration: a global perspective and the Brazilian experience

J Bras Nefrol. 2024 Apr-Jun;46(2):e20230104. doi: 10.1590/2175-8239-JBN-2023-0104en.

[Article in English, Portuguese]

Authors

Maria Eugenia Fernandes Canziani¹, Jorge Paulo Strogoff-de-Matos², Murilo Guedes³, Ana Beatriz Lesqueves Barra⁴, Sinaia Canhada⁴, Luciana Carvalho⁵, Douglas Gemente⁵, Carlos Eduardo Poli-de-Figueiredo⁶, Roberto Pecoits-Filho³

Affiliations

¹ Universidade Federal de São Paulo, São Paulo, SP, Brazil.
² Universidade Federal Fluminense, Faculdade de Medicina, Niteroi, RJ, Brazil.
³ Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brazil.
⁴ Fresenius Medical Care, Rio de Janeiro, RJ, Brazil.
⁵ B Braun, São Paulo, SP, Brazil.
⁶ Pontifícia Universidade Católica do Rio Grande do Sul, Departamento de Medicina, Porto Alegre, RS, Brazil.

PMID: 38134298
DOI: 10.1590/2175-8239-JBN-2023-0104en

Abstract

Online hemodiafiltration (HDF) is a rapidly growing dialysis modality worldwide. In Brazil, the number of patients with private health insurance undergoing HDF has exceeded the number of patients on peritoneal dialysis. The achievement of a high convection volume was associated with better clinical imprand patient - reported outcomes confirming the benefits of HDF. The HDFit trial provided relevant practical information on the implementation of online HDF in dialysis centers in Brazil. This article aims to disseminate technical information to improve the quality and safety of this new dialysis modality.

MeSH terms

Brazil
Hemodiafiltration*
Humans
Kidney Failure, Chronic* / therapy
Peritoneal Dialysis*
Renal Dialysis