UK National Survey of Practice Patterns of Fluid Volume Management in Haemodialysis Patients: A Need for Evidence

Indranil Dasgupta, Ken Farrington, Simon J Davies, Andrew Davenport, Sandip Mitra

Research output: Contribution to journalArticlepeer-review

20 Citations (Scopus)


BACKGROUND: Fluid management in haemodialysis (HD) affects patient experience, morbidity and mortality. Standards for best practice are lacking. A national survey of the United Kingdom was undertaken to define prevalent practice.

METHODS: An online questionnaire was distributed to all UK renal centres.

RESULTS: Forty-five of 74 centres (173 dialysis units), serving 62% (n = 14,697) of UK HD population responded. Seventy-eight per cent had no agreed policy for managing fluid balance in patients on HD; 44% did not assess fluid status routinely. Clinical assessment was the norm; 27% used bio-impedance-based device. To achieve a target-weight, 53% reduced weight as far as tolerated. Twenty-two per cent measured residual renal function (RRF). Ninety-one per cent had no policy for fluid overload. Sixty-four per cent restricted salt and water. Ninety-three per cent used diuretics in patients with RRF. Thirty-eight per cent felt management was adequate; 77% felt there was a need for better evidence. Ninety-one per cent would participate in a study addressing this.

CONCLUSION: There is an urgent need for establishing an evidence base on the optimal approaches to fluid management.

Original languageEnglish
Pages (from-to)324-31
Number of pages8
JournalBlood Purification
Issue number4
Publication statusPublished - 1 Apr 2016


  • Diet
  • Disease Management
  • Diuretics
  • Electric Impedance
  • Fluid Therapy
  • Health Surveys
  • Humans
  • Kidney Failure, Chronic
  • Practice Patterns, Physicians'
  • Renal Dialysis
  • Surveys and Questionnaires
  • Survival Analysis
  • United Kingdom
  • Water-Electrolyte Balance
  • Journal Article


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