September 22, 2026 · Journal of the American Society of Nephrology : JASN · DOI: 10.1681/ASN.0000001286

Hemodialysis Care: Evolving to Enhance Patient-Level Outcomes

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The authors examine how hemodialysis care can evolve to enhance patient-level outcomes, questioning why improvements in traditional adequacy targets have not translated into better survival, hospitalization rates, and quality of life for patients. They argue for a shift from focusing on surrogate measures to evaluating therapies based on their impact on meaningful clinical outcomes, patient-reported experiences, and overall value. The review highlights the need for rigorous research and alignment of healthcare policies to ensure that technological advancements in dialysis lead to improved care for individuals with kidney failure.

Allen R Nissenson, Jörgen Hegbrant, Frank W Maddux, Giovanni F M Strippoli

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