New polymethylmethacrylate membrane, NF-U, improves nutritional status and reduces patient-reported symptoms in older dialysis patients

Abstract Introduction We previously reported the nutritional advantage of polymethylmethacrylate (PMMA) membranes to prevent the progression of malnutrition in dialysis patients. In this study, we examined whether a new PMMA dialyzer, NF-U, has advantages to improve the nutritional condition, patien...

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Main Authors: Tetsuro Chida, Hiroyuki Igarashi, Ikuto Masakane
Format: Article
Language:English
Published: BMC 2022-04-01
Series:Renal Replacement Therapy
Subjects:
Online Access:https://doi.org/10.1186/s41100-022-00400-z
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author Tetsuro Chida
Hiroyuki Igarashi
Ikuto Masakane
author_facet Tetsuro Chida
Hiroyuki Igarashi
Ikuto Masakane
author_sort Tetsuro Chida
collection DOAJ
description Abstract Introduction We previously reported the nutritional advantage of polymethylmethacrylate (PMMA) membranes to prevent the progression of malnutrition in dialysis patients. In this study, we examined whether a new PMMA dialyzer, NF-U, has advantages to improve the nutritional condition, patient-reported symptoms, and other clinical parameters in older dialysis patients. Methods We selected ten older chronic dialysis patients who were treated with NF-U for improving their worsening nutritional parameters and retrospectively evaluated nutrition and patient-reported symptoms. Patient-reported symptoms were surveyed by our original questionnaire including 20 items of symptom. Results Serum albumin concentration, geriatric nutritional risk index, and percent creatinine generation rate increased from 3.01 ± 0.16 to 3.25 ± 0.17 g/dL, 87.7 ± 5.8 to 91.4 ± 6.2, 100.2 ± 21.6 to 111.9 ± 20.9% at 1 and 4 months after switching to NF-U, respectively. For patient-reported outcomes, fatigue and the total score of patient-reported outcomes were improved after switching to NF-U. Conclusion Our results suggest that NF-U is a good choice for older dialysis patients to ameliorate their nutritional status and patient-reported outcomes.
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spelling doaj.art-17c3053c6a4044db8ca9a15243c1211e2022-12-21T17:57:39ZengBMCRenal Replacement Therapy2059-13812022-04-01811710.1186/s41100-022-00400-zNew polymethylmethacrylate membrane, NF-U, improves nutritional status and reduces patient-reported symptoms in older dialysis patientsTetsuro Chida0Hiroyuki Igarashi1Ikuto Masakane2Yabuki HospitalTendoonsen Yabuki ClinicYabuki HospitalAbstract Introduction We previously reported the nutritional advantage of polymethylmethacrylate (PMMA) membranes to prevent the progression of malnutrition in dialysis patients. In this study, we examined whether a new PMMA dialyzer, NF-U, has advantages to improve the nutritional condition, patient-reported symptoms, and other clinical parameters in older dialysis patients. Methods We selected ten older chronic dialysis patients who were treated with NF-U for improving their worsening nutritional parameters and retrospectively evaluated nutrition and patient-reported symptoms. Patient-reported symptoms were surveyed by our original questionnaire including 20 items of symptom. Results Serum albumin concentration, geriatric nutritional risk index, and percent creatinine generation rate increased from 3.01 ± 0.16 to 3.25 ± 0.17 g/dL, 87.7 ± 5.8 to 91.4 ± 6.2, 100.2 ± 21.6 to 111.9 ± 20.9% at 1 and 4 months after switching to NF-U, respectively. For patient-reported outcomes, fatigue and the total score of patient-reported outcomes were improved after switching to NF-U. Conclusion Our results suggest that NF-U is a good choice for older dialysis patients to ameliorate their nutritional status and patient-reported outcomes.https://doi.org/10.1186/s41100-022-00400-zPolymethylmethacrylateMalnutritionPatient-reported outcomesDialysis-related fatigueOlder dialysis patient
spellingShingle Tetsuro Chida
Hiroyuki Igarashi
Ikuto Masakane
New polymethylmethacrylate membrane, NF-U, improves nutritional status and reduces patient-reported symptoms in older dialysis patients
Renal Replacement Therapy
Polymethylmethacrylate
Malnutrition
Patient-reported outcomes
Dialysis-related fatigue
Older dialysis patient
title New polymethylmethacrylate membrane, NF-U, improves nutritional status and reduces patient-reported symptoms in older dialysis patients
title_full New polymethylmethacrylate membrane, NF-U, improves nutritional status and reduces patient-reported symptoms in older dialysis patients
title_fullStr New polymethylmethacrylate membrane, NF-U, improves nutritional status and reduces patient-reported symptoms in older dialysis patients
title_full_unstemmed New polymethylmethacrylate membrane, NF-U, improves nutritional status and reduces patient-reported symptoms in older dialysis patients
title_short New polymethylmethacrylate membrane, NF-U, improves nutritional status and reduces patient-reported symptoms in older dialysis patients
title_sort new polymethylmethacrylate membrane nf u improves nutritional status and reduces patient reported symptoms in older dialysis patients
topic Polymethylmethacrylate
Malnutrition
Patient-reported outcomes
Dialysis-related fatigue
Older dialysis patient
url https://doi.org/10.1186/s41100-022-00400-z
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