{"id":6561,"date":"2023-06-16T13:51:13","date_gmt":"2023-06-16T12:51:13","guid":{"rendered":"https:\/\/perruchenautomne.eu\/wordpress\/?p=6561"},"modified":"2023-06-16T13:51:13","modified_gmt":"2023-06-16T12:51:13","slug":"hdf-vs-hd","status":"publish","type":"post","link":"https:\/\/perruchenautomne.eu\/wordpress\/2023\/06\/16\/hdf-vs-hd\/","title":{"rendered":"HDF vs HD"},"content":{"rendered":"\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2023\/06\/image-2.png\"><img loading=\"lazy\" decoding=\"async\" width=\"708\" height=\"898\" src=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2023\/06\/image-2.png\" alt=\"\" class=\"wp-image-6566\" srcset=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2023\/06\/image-2.png 708w, https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2023\/06\/image-2-237x300.png 237w\" sizes=\"auto, (max-width: 708px) 100vw, 708px\" \/><\/a><\/figure>\n\n\n\n<p>Enfin la r\u00e9ponse a une question majeure en n\u00e9phrologie, est ce qu&rsquo;une technique de dialyse am\u00e9liore la survie des patients? Le match \u00e9tait entre h\u00e9modiafiltration et h\u00e9modialyse, apr\u00e8s avoir randomis\u00e9 1360 patients et attendu 30 mois la r\u00e9ponse est claire l&rsquo;HDF en postdilution avec un volume de plus de 23 litres de convection diminue le risque de d\u00e9c\u00e8s par rapport \u00e0 l&rsquo;h\u00e9modialyse. C&rsquo;est tir\u00e9 par la mortalit\u00e9 non cardiovasculaire et essentiellement par la r\u00e9duction de la mortalit\u00e9 infectieuse. Le match est pli\u00e9 avec des donn\u00e9es convaincantes comme le nom de cet essai <a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa2304820?query=RP&amp;cid=NEJM%20Recently%20Published,%20June%2016,%202023%20DM2236717_NEJM_Non_Subscriber&amp;bid=1620691398\">CONVINCE<\/a>.<\/p>\n\n\n\n<p>Comment \u00e7a marche? Prut \u00eatre que l&rsquo;\u00e9puration de <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36830910\/\">certains toxines<\/a> jouent un r\u00f4le. En tout cas, un tr\u00e8s bel essai qui fera date et qui montre que les n\u00e9phrologues peuvent faire de gros essais randomis\u00e9s en dialyse quand ils en ont les moyens.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Enfin la r\u00e9ponse a une question majeure en n\u00e9phrologie, est ce qu&rsquo;une technique de dialyse am\u00e9liore la survie des patients? Le match \u00e9tait entre h\u00e9modiafiltration et h\u00e9modialyse, apr\u00e8s avoir randomis\u00e9 1360 patients et attendu 30 mois la r\u00e9ponse est claire &hellip; <a href=\"https:\/\/perruchenautomne.eu\/wordpress\/2023\/06\/16\/hdf-vs-hd\/\">Continuer la lecture <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[13,14],"tags":[2304,2303,169,425,2242],"class_list":["post-6561","post","type-post","status-publish","format-standard","hentry","category-medecine-2","category-nephrologie","tag-convince","tag-hemodiafiltration","tag-hemodialyse","tag-mortalite","tag-rct"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p1l1zM-1HP","jetpack_sharing_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/posts\/6561","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/comments?post=6561"}],"version-history":[{"count":3,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/posts\/6561\/revisions"}],"predecessor-version":[{"id":6568,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/posts\/6561\/revisions\/6568"}],"wp:attachment":[{"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/media?parent=6561"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/categories?post=6561"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/tags?post=6561"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}