{"doi":"10.17615/91cb-ka56","title":"Turning the Tide: Improving Fluid Management in Dialysis through Technology","abstract":"Over the last decade, components of fluid management have emerged as some of the most important modifiable risk factors for morbidity and mortality among individuals on maintenance dialysis. Hypervolemia, either chronic from long-term volume overload or episodic from large interdialytic weight gains, may increase the risk of left ventricular hypertrophy and its adverse downstream cardiovascular consequences. Conversely, hypovolemia from either too voluminous or too rapid of fluid removal may lead to multiorgan ischemia and associated clinical sequelae.3,4 Experts recognize the need for balance between the extremes of volume status and ultrafiltration, but inter-relationships among volume-related components, lack of data on their relative importance, and absence of relevant clinical trials hinder consensus guideline development. Notwithstanding the paucity of trial evidence in this arena, international experts and United States dialysis organization leaders concur that putting “volume first” is essential if the dialysis community is to successfully “turn the tide” on the unacceptably poor outcomes experienced by our patients.","journal":"UNC Libraries","year":2024,"id":501528,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9543,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":241192,"name":"Jennifer E. Flythe","orcid":"0000-0003-4596-8536","position":0,"is_corresponding":true}],"reference_count":0,"raw_metadata":null,"created_at":"2026-07-19T02:10:15.999370Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}