Adequacy and nutrition in chronic hemodialysis

It has been about 140 years ago that the phenomenon of dialysis was first described. During the twentieth century dialysis has developed from simple in vitro diffusion of
crystalloid substances through a semi-permeable membrane into life-sustaining in vivo therapy for chronic renal failure patients. Providing an adequate hemodialysis treatment has been in the centre of attention of nephrologists during the last three decades. However,
to date still no definite comprehensive definition of an
adequate hemodialysis treatment has been formulated. The dose of dialysis, the dietary protein intake and the nutritional status are important aspects of dialysis adequacy, as these factors have shown to have a
major impact on outcome in hemodialysis patients. Quantification and monitoring of the dialysis dose and nutrition has, therefore, become an important issue for the clinically working nephrologists in the treatment of hemodialysis patients.

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