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Jan. 27, 2026 |
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Jan. 27, 2026 |
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jRCT1032250682 |
A Prospective Study on the Effects of H12-Hemodialyzer and Low-Albumin Leakage On-Line HDF on Nutritional Status |
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A Prospective Study on the Effects of H12-Hemodialyzer and Low-Albumin Leakage On-Line HDF on Nutritional Status |
Hara Shoichiro |
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2-2-1 Kongo Yahatanishi-ku, Kitakyushu-shi, Fukuoka-ken |
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+81-93-618-3377 |
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s.hara.imacli@gmail.com |
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Hara Shoichiro |
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Imamura Clinic, Medical Corporation |
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2-2-1 Kongo Yahatanishi-ku, Kitakyushu-shi, Fukuoka-ken |
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+81-93-618-3377 |
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s.hara.imacli@gmail.com |
Pending |
Jan. 27, 2026 |
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| 12 | ||
Interventional |
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non-randomized controlled trial |
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open(masking not used) |
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active control |
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crossover assignment |
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treatment purpose |
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The study subjects were dialysis patients aged 65 or older who were outpatients or hospitalized at our hospital until January 31, 2027, and whose albumin levels were 3.5 g/dL or less in the results of regular blood tests at our hospital, and whose dialysis conditions were 4 hours and a blood flow rate of 200 ml/min. |
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Patients who need to take ACE inhibitors as antihypertensive medication. |
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| 65age old over | ||
| No limit | ||
Both |
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chronic kidney disease |
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The dialyzer used for dialysis is changed every four months. |
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Blood samples are taken for albumin, total cholesterol, and transthyretin before dialysis treatment. The amount of albumin and 40 amino acids removed from the dialysis waste fluid is measured. Nutritional assessment is performed using the nutritional risk index for Japanese hemodialysis patients, the nutritional risk index for the elderly, and the standardized protein catabolic rate. |
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Dry weight at blood test, weight gain between dialysis treatments, cardiothoracic ratio, and BMI are measured. Muscle strength is assessed by blood sampling using creatinine and %creatinine production rate before dialysis treatment. Urea nitrogen, creatinine, and beta2-microglobulin removal rates, as well as single pool-kt/v and clear space rate, are calculated, and dialysis efficiency is evaluated by the amount of urea nitrogen, creatinine, and beta2-microglobulin removed from the dialysis waste fluid. Anemia is assessed by hemoglobin, hematocrit, transferrin saturation, ferritin, and the amount of erythropoietin preparation used, as well as the use of iron preparations during the observation period. Dialysis fatigue is assessed using a visual analog scale for sleep and dietary status on dialysis treatment and non-dialysis treatment days. Inflammation status is assessed by C-reactive protein before dialysis treatment. |
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| Japanese Society for Technology of Blood purification | |
| Hyu-rikkukandabiru6kai 1-16-5 Kandasudacho Chiyoda-ku Tokyo-to, Tokyo | |
| contact@jstb.jp | |
| Approval | |
Dec. 25, 2025 |
No |
none |