Long-term short hemodialysis-implications to dialysis index.

From this data, we conclude: 1) that dialysis therapy should be individualized to achieve optimal patient well-being; 2) that long-term hemodialysis for 8--12 hr/wk with 1.0--1.5 M2 coil dialyzers and 1.3--2.5 M2 Dow Cordis hollow fiber kidney is feasible and safe; 3) that most patients do well on hemodialysis, when DI is maintained at 0.9 to 1.1 with coil dialyzers and 0.75 to 0.85 with Dow Cordis hollow fiber; 4) that patients with creatinine clearance greater than or equal to 1.0 ml/min or with excessive interdialytic weight gain (greater than 3.0 kg) may acquire maintenance of a DI greater than 1.2 when utilizing coil dialyzers.