ArticleKidney international reports2022
Incremental and Personalized Hemodialysis Start: A New Standard of Care.
Article in Kidney international reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.
- Incremental Hemodialysis: Review of Clinical Trials Focused on Patients Undergoing Once-Weekly Hemodialysis.Nutrients · 2025Pooled it
- Impact of incremental initiation of haemodialysis on mortality: a systematic review and meta-analysis.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2023Pooled it
- Twice against thrice-weekly hemodialysis (TATH): a multicenter nonrandomized trial.BMC nephrology · 2025Trial
- Observational
- Ten tips for the first hemodialysis sessions.Clinical kidney journal · 2026Review
- IPNA's commitment to world kidney day 2026: caring for little kidneys and protecting the planet.Pediatric nephrology (Berlin, Germany) · 2026Article
- Ten tips to preserve and reuse water in nephrology.Clinical kidney journal · 2026Review
- Finding the sweet spot in green nephrology: the intersection of environmental sustainability and excellence in patient care.Clinical kidney journal · 2026Review
- A website calculator to benchmark the carbon footprint of haemodialysis.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026Article
- Indicators of Safety and Wellbeing in Patients Starting Maintenance Haemodialysis Using Phased Approach: Findings from a Cohort Feasibility Study.Healthcare (Basel, Switzerland) · 2026Article
- Perspectives on Quality of Life, Vascular Access, and Fluid Balance in Incremental Hemodialysis: A Narrative Review.Kidney360 · 2026Review
- Incremental vs. standard hemodialysis for preserving residual kidney function: a case-control study.BMC nephrology · 2025Observational
- Green, Sustainable Nephrology: State of the Art Needs for Education and Implementation.Clinical journal of the American Society of Nephrology : CJASN · 2025Review
- Article
- Benefits and Challenges When Implementing Incremental Hemodialysis: A Qualitative Study of Patients and Providers.Canadian journal of kidney health and disease · 2025Article
- Visual supports and informative material not to forget counselling on reproductive health in dialysis: a point of view.Journal of nephrology · 2024Review
- Vascular access in incremental hemodialysis: is less always more?Journal of nephrology · 2024Article
- Twice Weekly versus Thrice Weekly Hemodialysis-A Pilot Cross-Over Equivalence Trial.Clinical journal of the American Society of Nephrology : CJASN · 2024Article
- Eco-dialysis in Italy: where are we? National survey on the eco-sustainability of dialysis across Italian dialysis centers.Journal of nephrology · 2024Article
- Challenges to Implementing Environmentally Sustainable Kidney Care in LMICs: An Opinion Piece.Canadian journal of kidney health and disease · 2024Article
Corrections and comments
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Authors and funding
16 authors at 7 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Incremental hemodialysis (iHD) may attenuate "dialysis shock" and reduce costs, preserving quality of life. It is considered difficult to reconcile with HD wards' routine; fear of underdialysis and increasing mortality are additional concerns. The aim of this study was to evaluate mortality, morbidity, and costs in a large HD ward where iHD is the standard of HD start. Methods: This observational study included all incident HD patients in 2017 to 2021, stratified according to HD start: iHD (1-2 sessions/wk), decremental HD (dHD, 3 sessions/wk at start, later reduced), or standard (3 sessions/wk). Results were compared with data recorded in the same unit before the incremental program (2015-2017) and with a propensity score-matched cohort from the French Renal Epidemiology and Information Network (REIN) registry. Results: A total of 158 patients started HD in 2017 to 2021, 57.6% on iHD, 8.9% dHD, and 33.5% standard HD schedule. Patients on the standard schedule had lower initial estimated glomerular filtration rate (eGFR) (5 vs. 7 ml/min per 1.72 m Conclusion: Our study reveals that iHD can be a new standard of care, as it is safe and feasible in up to two-thirds of patients on incident HD.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.