Renal replacement therapy modalities for acute kidney injury_West China Medical Journal

Authors：

 ZHANG Li

Department of Nephrology, First Medical Center of Chinese People’s Liberation Army General Hospital, State Key Laboratory of Kidney Diseases, National Clinical Research Center for Kidney Diseases, Beijing 100853, P. R. China;

Corresponding author：

ZHANG Li, Email: zhangl301@163.com

Keywords：

Acute kidney injury; intermittent hemodialysis; peritoneal dialysis; continuous renal replacement therapy; prolonged intermittent renal replacement therapy

DOI：

10.7507/1002-0179.202205159

Video：

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Severe acute kidney injury usually requires renal replacement therapy. Intermittent hemodialysis, peritoneal dialysis, continuous renal replacement therapy, and prolonged intermittent renal replacement therapy are the four common modalities of renal replacement therapy. Whether one modality of renal replacement therapy is superior to another in clinical practice remains controversial. The impact of the choice of renal replacement therapy modality on the short-term and long-term prognosis of patients needs to be further explored in large-scale randomized controlled studies and a longer follow-up time. This article will discuss the development history of renal replacement therapy for acute kidney injury, the current status of its application, and the comparison of the four treatment modalities, in order to help clinicians have a deeper understanding of how to design individualized renal replacement therapy programs for patients with acute kidney injury under the guidance of the concept of precision medicine.

Citation： ZHANG Li. Renal replacement therapy modalities for acute kidney injury. West China Medical Journal, 2022, 37(7): 966-973. doi: 10.7507/1002-0179.202205159 Copy

1.	Kolff WJ. New ways of treating uraemia: the artificial kidney, peritoneal lavage, intestinal lavage. London: Churchill, 1947.
2.	Frank HA, Seligman AM, Fine J. Treatment of uremia after acute renal failure by peritoneal irrigation. J Am Med Assoc, 1946, 130: 703-705.
3.	Liu L, Zhang L, Liu GJ, et al. Peritoneal dialysis for acute kidney injury. Cochrane Database Syst Rev, 2017, 12(12): CD011457.
4.	Cullis B, Al-Hwiesh A, Kilonzo K, et al. ISPD guidelines for peritoneal dialysis in acute kidney injury: 2020 update (adults). Perit Dial Int, 2021, 41(1): 15-31.
5.	Kramer P, Schrader J, Bohnsack W, et al. Continuous arteriovenous haemofiltration. A new kidney replacement therapy. Proc Eur Dial Transplant Assoc, 1981, 18: 743-749.
6.	Kumar VA, Craig M, Depner TA, et al. Extended daily dialysis: a new approach to renal replacement for acute renal failure in the intensive care unit. Am J Kidney Dis, 2000, 36(2): 294-300.
7.	Marshall MR, Golper TA, Shaver MJ, et al. Sustained low-efficiency dialysis for critically ill patients requiring renal replacement therapy. Kidney Int, 2001, 60(2): 777-785.
8.	Ronco C, Ricci Z, De Backer D, et al. Renal replacement therapy in acute kidney injury: controversy and consensus. Crit Care, 2015, 19(1): 146.
9.	Farooq U, Tober A, Chinchilli V, et al. Definition, management, and outcomes of acute kidney injury: an international survey of nephrologists. Kidney Dis (Basel), 2017, 3(3): 120-126.
10.	Digvijay K, Neri M, Fan W, et al. International survey on the management of acute kidney injury and continuous renal replacement therapies: year 2018. Blood Purif, 2019, 47(1/2/3): 113-119.
11.	Vangala C, Shah M, Dave NN, et al. The landscape of renal replacement therapy in veterans affairs medical center intensive care units. Ren Fail, 2021, 43(1): 1146-1154.
12.	Quenot JP, Amrouche I, Lefrant JY, et al. Renal replacement therapy for acute kidney injury in french intensive care units: a nationwide survey of practices. Blood Purif, 2021, 4: 1-10.
13.	Iwagami M, Yasunaga H, Noiri E, et al. Choice of renal replacement therapy modality in intensive care units: data from a Japanese Nationwide Administrative Claim Database. J Crit Care, 2015, 30(2): 381-385.
14.	Park S, Lee S, Jo HA, et al. Epidemiology of continuous renal replacement therapy in Korea: Results from the National Health Insurance Service claims database from 2005 to 2016. Kidney Res Clin Pract, 2018, 37(2): 119-129.
15.	Yang L, Xing G, Wang L, et al. Acute kidney injury in China: a cross-sectional survey. Lancet, 2015, 386(10002): 1465-1471.
16.	Wang F, Hong D, Wang Y, et al. Renal replacement therapy in acute kidney injury from a Chinese cross-sectional study: patient, clinical, socioeconomic and health service predictors of treatment. BMC Nephrol, 2017, 18(1): 152.
17.	Clark WR, Ding X, Qiu H, et al. Renal replacement therapy practices for patients with acute kidney injury in China. PLoS One, 2017, 12(7): e0178509.
18.	Eknoyan G, Lameire N. KDIGO clinical practice guideline for acute kidney injury. Kidney Int Suppl, 2012, 2(1): 1-138.
19.	Jörres A, John S, Lewington A, et al. A European Renal Best Practice (ERBP) position statement on the Kidney Disease Improving Global Outcomes (KDIGO) clinical practice guidelines on acute kidney injury: part 2: renal replacement therapy. Nephrol Dial Transplant, 2013, 28(12): 2940-2945.
20.	Ostermann M, Joannidis M, Pani A, et al. Patient selection and timing of continuous renal replacement therapy. Blood Purif, 2016, 42(3): 224-237.
21.	Ronco C, Bellomo R, Kellum JA. Acute kidney injury. Lancet, 2019, 394(10212): 1949-1964.
22.	Bonnassieux M, Duclos A, Schneider AG, et al. Renal replacement therapy modality in the ICU and renal recovery at hospital discharge. Crit Care Med, 2018, 46(2): e102-e110.
23.	Vinsonneau C, Camus C, Combes A, et al. Continuous venovenous haemodiafiltration versus intermittent haemodialysis for acute renal failure in patients with multiple-organ dysfunction syndrome: a multicentre randomised trial. Lancet, 2006, 368(9533): 379-385.
24.	Gaudry S, Grolleau F, Barbar S, et al. Continuous renal replacement therapy versus intermittent hemodialysis as first modality for renal replacement therapy in severe acute kidney injury: a secondary analysis of AKIKI and IDEAL-ICU studies. Crit Care, 2022, 26(1): 93.
25.	Ye Z, Wang Y, Ge L, et al. Comparing renal replacement therapy modalities in critically ill patients with acute kidney injury: a systematic review and network meta-analysis. Crit Care Explor, 2021, 3(5): e0399.
26.	Zhou X, Dong P, Pan J, et al. Renal replacement therapy modality in critically ill patients with acute kidney injury - a network meta-analysis of randomized controlled trials. J Crit Care, 2021, 64: 82-90.
27.	Bellomo R, Baldwin I, Ronco C, et al. ICU-based renal replacement therapy. Crit Care Med, 2021, 49(3): 406-418.
28.	Raina R, Mahajan ZA, Vasistha P, et al. Incidence and outcomes of acute kidney injury in COVID-19: a systematic review. Blood Purif, 2022, 51(3): 199-212.
29.	Sullivan MK, Lees JS, Drake TM, et al. Acute kidney injury in patients hospitalized with COVID-19 from the ISARIC WHO CCP-UK study: a prospective, multicentre cohort study. Nephrol Dial Transplant, 2022, 37(2): 271-284.
30.	Moledina DG, Simonov M, Yamamoto Y, et al. The association of COVID-19 with acute kidney injury independent of severity of illness: a multicenter cohort study. Am J Kidney Dis, 2021, 77(4): 490-499.e1.
31.	Eriksson KE, Campoccia-Jalde F, Rysz S, et al. Continuous renal replacement therapy in intensive care patients with COVID-19; survival and renal recovery. J Crit Care, 2021, 64: 125-130.
32.	Nadim MK, Forni LG, Mehta RL, et al. COVID-19-associated acute kidney injury: consensus report of the 25th Acute Disease Quality Initiative (ADQI) Workgroup. Nat Rev Nephrol, 2020, 16(12): 747-764.
33.	Hsu CM, Gupta S, Tighiouart H, et al. Kidney recovery and death in critically ill patients with COVID-19-associated acute kidney injury treated with dialysis: the STOP-COVID Cohort Study. Am J Kidney Dis, 2022, 79(3): 404-416.e1.
34.	Ramirez-Sandoval JC, Gaytan-Arocha JE, Xolalpa-Chávez P, et al. Prolonged intermittent renal replacement therapy for acute kidney injury in COVID-19 patients with acute respiratory distress syndrome. Blood Purif, 2021, 50(3): 355-363.
35.	Samaan F, Carneiro de Paula E, de Lima Souza FBG, et al. COVID-19-associated acute kidney injury patients treated with renal replacement therapy in the intensive care unit: a multicenter study in São Paulo, Brazil. PLoS One, 2022, 17(1): e0261958.
36.	Nagatomo M, Yamada H, Shinozuka K, et al. Peritoneal dialysis for COVID-19-associated acute kidney injury. Crit Care, 2020, 24(1): 309.
37.	Chen W, Caplin N, El Shamy O, et al. Use of peritoneal dialysis for acute kidney injury during the COVID-19 pandemic in New York City: a multicenter observational study. Kidney Int, 2021, 100(1): 2-5.
38.	Bowes E, Joslin J, Braide-Azikiwe DCB, et al. Acute peritoneal dialysis with percutaneous catheter insertion for COVID-19-associated acute kidney injury in intensive care: experience from a UK tertiary center. Kidney Int Rep, 2021, 6(2): 265-271.
39.	Fisher R, Clarke J, Al-Arfi K, et al. Provision of acute renal replacement therapy, using three separate modalities, in critically ill patients during the COVID-19 pandemic. An after action review from a UK tertiary critical care centre. J Crit Care, 2021, 62: 190-196.

1. Kolff WJ. New ways of treating uraemia: the artificial kidney, peritoneal lavage, intestinal lavage. London: Churchill, 1947.
2. Frank HA, Seligman AM, Fine J. Treatment of uremia after acute renal failure by peritoneal irrigation. J Am Med Assoc, 1946, 130: 703-705.
3. Liu L, Zhang L, Liu GJ, et al. Peritoneal dialysis for acute kidney injury. Cochrane Database Syst Rev, 2017, 12(12): CD011457.
4. Cullis B, Al-Hwiesh A, Kilonzo K, et al. ISPD guidelines for peritoneal dialysis in acute kidney injury: 2020 update (adults). Perit Dial Int, 2021, 41(1): 15-31.
5. Kramer P, Schrader J, Bohnsack W, et al. Continuous arteriovenous haemofiltration. A new kidney replacement therapy. Proc Eur Dial Transplant Assoc, 1981, 18: 743-749.
6. Kumar VA, Craig M, Depner TA, et al. Extended daily dialysis: a new approach to renal replacement for acute renal failure in the intensive care unit. Am J Kidney Dis, 2000, 36(2): 294-300.
7. Marshall MR, Golper TA, Shaver MJ, et al. Sustained low-efficiency dialysis for critically ill patients requiring renal replacement therapy. Kidney Int, 2001, 60(2): 777-785.
8. Ronco C, Ricci Z, De Backer D, et al. Renal replacement therapy in acute kidney injury: controversy and consensus. Crit Care, 2015, 19(1): 146.
9. Farooq U, Tober A, Chinchilli V, et al. Definition, management, and outcomes of acute kidney injury: an international survey of nephrologists. Kidney Dis (Basel), 2017, 3(3): 120-126.
10. Digvijay K, Neri M, Fan W, et al. International survey on the management of acute kidney injury and continuous renal replacement therapies: year 2018. Blood Purif, 2019, 47(1/2/3): 113-119.
11. Vangala C, Shah M, Dave NN, et al. The landscape of renal replacement therapy in veterans affairs medical center intensive care units. Ren Fail, 2021, 43(1): 1146-1154.
12. Quenot JP, Amrouche I, Lefrant JY, et al. Renal replacement therapy for acute kidney injury in french intensive care units: a nationwide survey of practices. Blood Purif, 2021, 4: 1-10.
13. Iwagami M, Yasunaga H, Noiri E, et al. Choice of renal replacement therapy modality in intensive care units: data from a Japanese Nationwide Administrative Claim Database. J Crit Care, 2015, 30(2): 381-385.
14. Park S, Lee S, Jo HA, et al. Epidemiology of continuous renal replacement therapy in Korea: Results from the National Health Insurance Service claims database from 2005 to 2016. Kidney Res Clin Pract, 2018, 37(2): 119-129.
15. Yang L, Xing G, Wang L, et al. Acute kidney injury in China: a cross-sectional survey. Lancet, 2015, 386(10002): 1465-1471.
16. Wang F, Hong D, Wang Y, et al. Renal replacement therapy in acute kidney injury from a Chinese cross-sectional study: patient, clinical, socioeconomic and health service predictors of treatment. BMC Nephrol, 2017, 18(1): 152.
17. Clark WR, Ding X, Qiu H, et al. Renal replacement therapy practices for patients with acute kidney injury in China. PLoS One, 2017, 12(7): e0178509.
18. Eknoyan G, Lameire N. KDIGO clinical practice guideline for acute kidney injury. Kidney Int Suppl, 2012, 2(1): 1-138.
19. Jörres A, John S, Lewington A, et al. A European Renal Best Practice (ERBP) position statement on the Kidney Disease Improving Global Outcomes (KDIGO) clinical practice guidelines on acute kidney injury: part 2: renal replacement therapy. Nephrol Dial Transplant, 2013, 28(12): 2940-2945.
20. Ostermann M, Joannidis M, Pani A, et al. Patient selection and timing of continuous renal replacement therapy. Blood Purif, 2016, 42(3): 224-237.
21. Ronco C, Bellomo R, Kellum JA. Acute kidney injury. Lancet, 2019, 394(10212): 1949-1964.
22. Bonnassieux M, Duclos A, Schneider AG, et al. Renal replacement therapy modality in the ICU and renal recovery at hospital discharge. Crit Care Med, 2018, 46(2): e102-e110.
23. Vinsonneau C, Camus C, Combes A, et al. Continuous venovenous haemodiafiltration versus intermittent haemodialysis for acute renal failure in patients with multiple-organ dysfunction syndrome: a multicentre randomised trial. Lancet, 2006, 368(9533): 379-385.
24. Gaudry S, Grolleau F, Barbar S, et al. Continuous renal replacement therapy versus intermittent hemodialysis as first modality for renal replacement therapy in severe acute kidney injury: a secondary analysis of AKIKI and IDEAL-ICU studies. Crit Care, 2022, 26(1): 93.
25. Ye Z, Wang Y, Ge L, et al. Comparing renal replacement therapy modalities in critically ill patients with acute kidney injury: a systematic review and network meta-analysis. Crit Care Explor, 2021, 3(5): e0399.
26. Zhou X, Dong P, Pan J, et al. Renal replacement therapy modality in critically ill patients with acute kidney injury - a network meta-analysis of randomized controlled trials. J Crit Care, 2021, 64: 82-90.
27. Bellomo R, Baldwin I, Ronco C, et al. ICU-based renal replacement therapy. Crit Care Med, 2021, 49(3): 406-418.
28. Raina R, Mahajan ZA, Vasistha P, et al. Incidence and outcomes of acute kidney injury in COVID-19: a systematic review. Blood Purif, 2022, 51(3): 199-212.
29. Sullivan MK, Lees JS, Drake TM, et al. Acute kidney injury in patients hospitalized with COVID-19 from the ISARIC WHO CCP-UK study: a prospective, multicentre cohort study. Nephrol Dial Transplant, 2022, 37(2): 271-284.
30. Moledina DG, Simonov M, Yamamoto Y, et al. The association of COVID-19 with acute kidney injury independent of severity of illness: a multicenter cohort study. Am J Kidney Dis, 2021, 77(4): 490-499.e1.
31. Eriksson KE, Campoccia-Jalde F, Rysz S, et al. Continuous renal replacement therapy in intensive care patients with COVID-19; survival and renal recovery. J Crit Care, 2021, 64: 125-130.
32. Nadim MK, Forni LG, Mehta RL, et al. COVID-19-associated acute kidney injury: consensus report of the 25th Acute Disease Quality Initiative (ADQI) Workgroup. Nat Rev Nephrol, 2020, 16(12): 747-764.
33. Hsu CM, Gupta S, Tighiouart H, et al. Kidney recovery and death in critically ill patients with COVID-19-associated acute kidney injury treated with dialysis: the STOP-COVID Cohort Study. Am J Kidney Dis, 2022, 79(3): 404-416.e1.
34. Ramirez-Sandoval JC, Gaytan-Arocha JE, Xolalpa-Chávez P, et al. Prolonged intermittent renal replacement therapy for acute kidney injury in COVID-19 patients with acute respiratory distress syndrome. Blood Purif, 2021, 50(3): 355-363.
35. Samaan F, Carneiro de Paula E, de Lima Souza FBG, et al. COVID-19-associated acute kidney injury patients treated with renal replacement therapy in the intensive care unit: a multicenter study in São Paulo, Brazil. PLoS One, 2022, 17(1): e0261958.
36. Nagatomo M, Yamada H, Shinozuka K, et al. Peritoneal dialysis for COVID-19-associated acute kidney injury. Crit Care, 2020, 24(1): 309.
37. Chen W, Caplin N, El Shamy O, et al. Use of peritoneal dialysis for acute kidney injury during the COVID-19 pandemic in New York City: a multicenter observational study. Kidney Int, 2021, 100(1): 2-5.
38. Bowes E, Joslin J, Braide-Azikiwe DCB, et al. Acute peritoneal dialysis with percutaneous catheter insertion for COVID-19-associated acute kidney injury in intensive care: experience from a UK tertiary center. Kidney Int Rep, 2021, 6(2): 265-271.
39. Fisher R, Clarke J, Al-Arfi K, et al. Provision of acute renal replacement therapy, using three separate modalities, in critically ill patients during the COVID-19 pandemic. An after action review from a UK tertiary critical care centre. J Crit Care, 2021, 62: 190-196.

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