Incremental Hemodialysis

Incremental Hemodialysis is a dialysis approach where treatment starts with fewer sessions per week and is gradually increased as kidney function declines. It is planned based on the patient’s remaining kidney function and health condition. This method helps reduce treatment burden while allowing a smoother adjustment to regular dialysis over time.

Frequently Asked Question's 

What is incremental hemodialysis?

Incremental haemodialysis is a dialysis approach in which treatment is started at a frequency or intensity suited to the patient's remaining kidney function. The dialysis schedule can then be adjusted over time as kidney function changes.

Who may be suitable for incremental hemodialysis?

It may be considered for selected patients who are beginning haemodialysis and still have meaningful residual kidney function. A nephrologist assesses kidney function, urine output, fluid balance, overall health, and other clinical factors before recommending this approach.

How is incremental hemodialysis different from conventional dialysis?

Conventional haemodialysis often follows a fixed treatment schedule, while incremental dialysis is tailored according to how much kidney function the patient still has. As residual kidney function declines, the treatment plan may need to be increased or modified.

Can incremental hemodialysis reduce the number of dialysis sessions initially?

For appropriately selected patients, incremental haemodialysis may allow a less frequent dialysis schedule at the beginning of treatment. The frequency is not fixed and depends on ongoing assessment of kidney function, fluid status, symptoms, and blood test results.

How is progress monitored during incremental hemodialysis?

Patients require regular follow-up to assess remaining kidney function, urine output, fluid retention, blood pressure, blood tests, nutritional status, and overall wellbeing. The nephrology team can increase dialysis frequency or make other changes when the patient's needs evolve.