Separating the Effects of Hemodialysis Dose and Nutrition: In Search of the Optimal Dialysis Dose (original) (raw)

2002, Seminars in Dialysis

The renal community owes Dr. Frank Gotch a great debt for the contributions that he has made to clarify the relationship between urea clearance and the dose of dialysis. With John Sargent he developed the mathematical approach to hemodialysis (1). In his seminal publication he re-analyzed data of the National Cooperative Dialysis Study to establish the association between the theoretically derived Kt/V for urea and clinical outcomes . Although diffusion equations are well understood and are used in many fields of science, Dr. Gotch's persistent and tireless efforts to identify and quantitate the specific aspects of this process in dialysis through formal kinetic modeling, yielding additionally the protein catabolic rate (

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