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| Name | Class |
|---|---|
| Children's Hospital Medical Center, Cincinnati | OTHER |
| The Hospital for Sick Children | OTHER |
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A health kidney works 24 hours a day, 7 days a week to remove toxins and fluid from the body. Many children with permanent kidney failure undergo dialysis, a life saving procedure that takes the place of a kidney. Currently, many children with permanent kidney failure only receive dialysis treatments 3 days a week in the hospital dialysis clinic. Children on dialysis have a markedly reduced life expectancy, with a life span 40-50 years shorter than their healthy counterparts. Survival for these children has not improved over the last 20 years. These data indicate that the current dialysis treatment strategy is unacceptable.
This research project will study if more frequent dialysis, performed 5 days per week, will improve the health of children with permanent kidney failure compared to the current treatment strategy. Children will be treated with both traditional and more frequent dialysis schedules to measure improvements in their health and well being.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 5 days per week hemodialysis | Experimental | 5 days per week, 2 hours 20 minutes per session versus 3 days per week, 4 hours per session |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hemodialysis | Procedure | 5 days per week hemodialysis |
|
| Measure | Description | Time Frame |
|---|---|---|
| Systolic Blood Pressure | up to 24 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Diastolic Blood Pressure | up to 24 weeks | |
| Treatment Costs | up to 24 weeks | |
| Quality of Life |
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Inclusion Criteria:
Exclusion Criteria:
Patients listed for a deceased donor transplant will not be excluded.
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| Name | Affiliation | Role |
|---|---|---|
| Benjamin L Laskin, MD | Children's Hospital of Philadelphia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cincinnati Childrens Hospital Medical Center | Cincinnati | Ohio | 45229 | United States | ||
| Children's Hospital of Philadelphia |
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| ID | Term |
|---|---|
| D007676 | Kidney Failure, Chronic |
| ID | Term |
|---|---|
| D051436 | Renal Insufficiency, Chronic |
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
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| ID | Term |
|---|---|
| D006435 | Renal Dialysis |
| ID | Term |
|---|---|
| D017582 | Renal Replacement Therapy |
| D013812 | Therapeutics |
| D016060 | Sorption Detoxification |
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| up to 24 weeks |
| Adverse Events/Symptoms | up to 24 weeks |
| Bone Health | up to 24 weeks |
| Anemia | up to 24 weeks |
| Nutrition and Growth | up to 24 weeks |
| Echocardiogram measured left ventricular mass | every 3 months |
| School Performance | every 3 months |
| Inflammatory Markers | every 3 months |
| Philadelphia |
| Pennsylvania |
| 19104 |
| United States |
| The Hospital for Sick Children | Toronto | Canada |
| D052776 |
| Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |