The purpose of this study is to determine whether spending more time with a dietitian will improve dietary compliance in a group of hemodialysis patients, with particular respect to phosphate control.

• randomised prospective controlled trial
• stable haemodialysis patients on thrice weekly haemodialysis (URR > 66%)
• either had standard dietetic review - 6 monthly or intensive review - monthly
• all patients had to have a serum phosphate > 1.8 mmol/l over the previous three months to be recruited
• study period 6 months, and then patients followed for a further 3 months

Inclusion Criteria:

• stable chronic hemodialysis patients
• serum phosphate > 1.8 mmol/l sustained over 3 months prior to trial entry adequate dialysis treatment as assessed by urea reduction

Exclusion Criteria:

• pregnancy
• unable to give consent
• phosphate < 1.8 mmol/l
• inadequate dialysis
• aged < 18 or > 80
• poor nutritional state
• weight loss in proceeding three months