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Table 2 Clinical effect of HDF, mortality

From: Development of online hemodiafiltration in Japan

Study [Ref]

Study design

Modality/number

Results

Observation study

Canaud [24]

(Euro-DOPPS-1) Germany, France, Italy, Spain, UK

Prospective obsevation

LFHD 1366 (63%),

HFHD 546(25.2%)

Low-HDF 156 (7.2%)

High-HDF 97 (4.5%)

High-HDF versus LFHD: mortality redaction 35%

Panichi [25]

(RISCAVID), Italy

Prospective obsevation

LFHD 424 (56%)

ol-HDF 129 (17.7%)

off-HDF 204 (27%)

ol-HDF versus LFHD: mortality redaction 22%

Vilar [26], UK

Retrospective

HFHD 626

ol-HDF 232(27%)

ol-HDF versus HFHD: mortality redaction 34%

European Clinical Database (EUCLID) [27], Czech, France, Italy, Portugal, Romania, Spain, Turkey

Retrospective

Post-ol HDF CV < 54.6L/wk versus > 64.8L/wk: 204/204

CV > 70.1 L/wk:survival 64% increase

Survival and CRP/ β2MG reduction depend on CV

Euro-DOPPS [31]

(DOPPS-4,5), Sweden, France, Belgium, Italy, UK, Spain, Germany

Prospective obsevation

Post-ol-HDF versus HD: 2012/6555

ns

Kikuchi [32], JRDR, Japan

Retrospective

Pre-ol-HDF ≥ 40L session versus < 40L & HD: 2548/2424/5000

Pre-ol-HDF ≥ 40L: mortality redaction 29.1%

Randomized controlled trial (RCT)

Dutch CONTRAST [28], The Netherlands

RCT

Post-ol-HDF versus LFHD: 356/358

ns, higher CV (> 21.95L):reduction 38%

Turkish study [29], Turkey

RCT

Post-ol-HDF versus HFHD: 391/391

ns, higher CV (> 17.4L): mortality reduction 46%

ESHOL study [20], Spain

RCT

Post-ol-HDF versus HFHD: 450/456

Mortality Reduction 30%, higher CV (23-25L): 40%, CV (> 25L): 45%

French study [30], France

RCT

Post-ol-HDF versus HFHD, > 65y.o: 190/191

ns

  1. HDF, hemodiafiltration; LFHD, low flux hemodialysis; HFHD, high flux hemodialysis; post-ol-HDF, post dilution online HDF; pre-ol-HDF, pre dilution online HDF; CV, convection volume