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Do it for your patients:
Just push the button.

High-volume HDF has clinical advantages. It is easy to carry out and brings economic value.1
But most of all, patients may live for longer, as indicated by the CONVINCE study, which showed a 23% reduction in the risk of mortality in the HDF vs. HD group.2

Thanks to HighVolumeHDF, patients reported better outcomes31 regarding:

HighVolumeHDF for our patient‘s life:

Watch the inspiring story of Ibrahim, a patient undergoing high-volume hemodiafiltration. In this video, Ibrahim shares his story and personal experience with the therapy, the challenges and the adjustments he has made to live his life in balance.

reduction in the risk of mortality in the HDF vs. HD group as indicated by the CONVINCE study

What is high-volume hemodiafiltration?

HighVolumeHDF is the most effective modality in the typical in-center 4 hour hemodialysis setting with regards to patient survival.2,30

High-volume hemodiafiltration can prolong the lives of dialysis patients.2,8,9 This renal replacement therapy, which has existed since the 80s, is a treatment that comes closer to the purification profile of natural kidneys, thanks to the combination of two principles: diffusion and convection.

It is the dialysis therapy that has grown the most in the world in the last ten years

patient

It is available in more than 90 countries

provider

More than 4,000 scientific publications available on the therapy (Pubmed)

In Europe and other countries,
high-volume HDF has become an established treatment modality

patient

The National Institute for Health and Clinical Excellence (NICE) in England recommends considering HDF as the first option rather than HD1

Do it for your patients: Just push the button.

How to implement HighVolumeHDF?

HighVolumeHDF is Fresenius Medical Care

Our commitment to making HighVolumeHDF available to all patients has resulted in an advanced and highly synergetic portfolio. We can offer you an integrated business and therapy solution, enhanced by services tailored to support your specific needs:

Literally, all you need to do is: Just push the button.

Switching to HighVolumeHDF is remarkably straightforward. Our specialized HighVolumeHDF product line, coupled with dedicated support from our technicians, medical, scientific and application specialists, enables a seamless and viable transition with no additional workload.

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2005
2012
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2016
2023
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1983

2008C: Conventional HDF with solution bags

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1988

A2008 Online HDF: Our first system for online preparation of substitution fluid

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1998

4008H ONLINE plus: Advanced ONLINEplus technology as optional module

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2005

5008 CorDiax Therapy System: Online hemodiafiltration as standard treatment mode

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2012

5008 CorDiax & 5008S CorDiax: With AutoSub plusHighVolumeHDF becomes as simple and reliable as HD

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2013

High-volume HDF improves patients’ survival rates

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2016

The 6008 CAREsystem: Due to the simplicity of HighVolumeHDF delivery with 6008 CAREsystem, more patients could be treated with high-volume HDF.13

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2023

High-volume HDF improves patients’ survival rates

Related Content

 https://www.nice.org.uk/guidance/ng107, Renal replacement therapy and conservative management, published date: October 2018.
* All statements and assessments by NICE are based on care practice and costs in England.

2 Blankestijn PJ et al., CONVINCE Scientific Committee Investigators, Effect of Hemodiafiltration or Hemodialysis on Mortality in Kidney Failure, N Engl J Med 2023 Aug 24;389(8):700-709

3 Internal calculation is based on an example at QB = 300 mL/min and a 240-minute treatment. There are savings of 34 L of dialysis fluid with post HDF at AutoFlow factor 1.2, with QD = 360 mL/min, compared to post HDF, with a fixed QD = 500 mL/min.

4 Marcelli, D. et al., High-Volume Postdilution Hemodiafiltration Is a Feasible Option in Routine Clinical Practice, Artificial Organs 2015, 39(2): 142–149.

6 Ehlerding, G. et al. (2021), Randomized comparison of three high-flux dialyzers during high volume online hemodiafiltration – the comPERFORM study, Clinical Kidney Journal; sfab196. Clin Kidney J 2021 Oct 5;15(4):672-680

8 Maduell F. et al., High-Efficiency Postdilution Online Hemodiafiltration Reduces All-Cause Mortality in Hemodialysis Patients, J Am Soc Nephrol (2013); 24: 487-497.

9 Peters S.A.E. et al., Haemodiafiltration and mortality in end-stage kidney disease patients: a pooled individual participant data analysis from four randomized controlled trials, Nephrol Dial Transplant (2016) 31: 978-984.

13 Gründler U. et al., Less Complexity in Hemodialysis Machines Reduces Time and Physical Load for Operator Actions. Med Devices (Auckl). 2021 Nov 17;14:379-387.

29 Benz et al. (2012). Technical Aspects of Hemodialysis in Children. In: Warady, B., Schaefer, F., Alexander, S. (eds) Pediatric Dialysis. Springer, Boston, MA.  https://doi.org/10.1007/978-1-4614-0721-8_17

30 Strippoli GFM, Green SC. Actioning the findings of hard endpoint clinical trials as they emerge in the realm of chronic kidney disease care: a review and a call to action. Clin Kidney J. 2024 Feb 9;17(2):sfae035. doi: 10.1093/ckj/sfae035. PMID: 38425707; PMCID: PMC10903297.

31 Rose, M. et al., for the CONVINCE Scientific Committee and CONVINCE Investigators, The CONVINCE randomized trial found positive effects on quality of life for patients with chronic kidney disease treated with hemodiafiltration, Kidney International (2024), doi: doi.org/10.1016/j.kint.2024.07.014