Superior patient and technique survival with very high standard Kt/V in quotidian home hemodialysis

We studied the association of patient and dialysis factors with patient and technique survival in a cohort of all of our 191 of patients surviving >3 months on quotidian home hemodialysis (QHHD). Eighty-one patients were on nocturnal QHHD and 110 on short -daily QHHD. Weekly dialysis time was 7.548 hours, single pool Kt/V was 0.384.5 per treatment, and weekly standardKt/V was 2.17.5. The association of 18 patient and dialysis variables with patient and technique survival was analyzed by Kaplan-Meier and Cox analyses. Ninety-nine patients (52%) remained on QHHD, 34 (18%) were transplanted, 31 (16%) returned to 3/week HD, and 27 (14%) died. The 5-year patient survival was 71%+/- 6% (night: 79%+/- 7%, day: 69%+/- 9%, P?=?0.002). The 5-year technique survival was 80%+/- 4% (night: 93%+/- 3%, day: 46%+/- 17%, P?=?0.001). In Cox analyses, patient survival was independently associated with standard Kt/V (hazard ratio [HR]?=?0.29, P?