Summary of research recommendations

Summary of research recommendations

  1. Pragmatic RCT comparing management of hypertension using routine (including ‘usual’ dialysis unit BP in in-centre haemodialysis patients) BP, HBPM and ABPM in dialysis patients.
  2. Pragmatic RCT in both haemodialysis and peritoneal dialysis to determine optimal BP target ranges, preferably utilising standardised office BP or home BP monitoring as the primary method for measuring BP
  3. RCT of multiple lifestyle interventions (including dietary salt and fluid reduction, exercise and psychosocial support for medication adherence) on BP and symptomatic IDH in people on dialysis.
  4. An implementation or hybrid effectiveness-implementation study of protocolised fluid volume management to improve CV outcomes in people receiving haemodialysis.
  5. RCT to determine whether routine evening/night-time dosing of antihypertensive medication reduces incidence of symptomatic intra-dialytic hypotension.
  6. RCT to determine effectiveness of midodrine and/or L-carnitine in preventing symptomatic IDH and reducing hospitalisations, and whether these treatments are well tolerated and safe.
  7. RCT in CYP on dialysis to determine whether those in whom BP is targeted to <90th centile have a lower risk of LVH compared with those in whom BP is permitted ≥90th centile.
  8. Study in CYP on dialysis to determine whether HBPM values correlate with data from ABPM assessment.