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AuthorsKalantar-Zadeh K, Ficociello LH, Bazzanella J, Mullon C, Anger MS

Received10 November 2020

Accepted for publication 30 December 2020

Hayek and colleagues found that cardiac arrest is common and associated with poor survival in patients critically ill with covid-19.1 The sharp decline in admissions for coronary syndromes during the covid-19 pandemic is a complex, prevalent, and maybe ominous phenomenon. We are seeing a lower rate of presentations. See the future of automatic & intelligent observability. Register for Perform, our industry-transforming observability conference. Join 75 of the biggest names in (and outside) of tech, and 50+ keynotes and breakouts that spotlight innovations that'll change the way you work in modern, dynamic clouds.

Podlesnik, Christopher A.; Jimenez-Gomez, Corina; Ward, Ryan D.; Shahan, Timothy A. – Journal of the Experimental Analysis of Behavior, 2009 Stimuli uncorrelated with reinforcement have been shown to enhance response rates and resistance to disruption; however, the effects of different rates of stimulus presentations have not been assessed. Gomez's case turned on peer review, a confidential process conducted by committees of physicians to weed out bad doctors. Gomez, however, alleged that Memorial Hermann misused the process. Gomez PEER update: Peerzone shut down in October 2018. This one is as easy as it gets, although some of us may take issue with the privacy situation. Here is how it works Install their free app on your computer and go about your day! That really is it!

Published 20 January 2021 Volume 2021:14 Pages 11—21

DOIhttps://doi.org/10.2147/IJNRD.S291348

Checked for plagiarism Yes

Review bySingle anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Professor Pravin Singhal


Kamyar Kalantar-Zadeh,1– 3 Linda H Ficociello,4 Jennifer Bazzanella,5 Claudy Mullon,4 Michael S Anger4
1Division of Nephrology, Hypertension and Kidney Transplantation, University of California, Irvine, School of Medicine, Orange, CA, USA; 2Department of Epidemiology, University of California, Los Angeles (UCLA), Los Angeles, CA, USA; 3Los Angeles Biomedical Research Institute at Harbor–UCLA, Torrance, CA, USA; 4Fresenius Medical Care Renal Therapies Group, Waltham, MA, USA; 5Fresenius Kidney Care, Madison, WI, USA
Correspondence: Kamyar Kalantar-Zadeh
Division of Nephrology, Hypertension and Kidney Transplantation, University of California, Irvine Medical Center, 101 the City Drive South, Orange, CA 92868-3217, USA
Tel +1-714-456-5142
Fax +1-714-456-6034
Email [email protected]
Abstract: Hypoalbuminemia results when compensatory mechanisms are unable to keep pace with derangements in catabolism/loss and/or decreased synthesis of albumin. Across many disease states, including chronic kidney disease (CKD), hypoalbuminemia is a well-established, independent risk factor for adverse outcomes, including mortality. In the setting of CKD, reduced serum albumin concentrations are often a manifestation of protein-energy wasting, a state of metabolic and nutritional alterations resulting in reduced protein and energy stores. The progression of CKD to kidney failure and the initiation of maintenance hemodialysis (HD) further predisposes an already at-risk population toward hypoalbuminemia such that approximately 60% of HD patients have albumin concentrations < 4.0 g/dl. Albumin loss into the dialysate through the dialyzer appears to be a potentially modifiable cause of hypoalbuminemia in some patients. A group of newer dialyzers for maintenance HD—sometimes termed protein-leaking or medium cut-off membranes—aim to improve clearance of middle molecules (vs high flux dialyzers) but are associated with increased albumin losses. In this article, we will examine the impact of dialyzer selection on albumin losses during conventional HD, including the clinical relevance of such losses on serum albumin levels. Data on the clinical relevance of albumin losses during dialysis and current gaps in the evidence base are also discussed.
Keywords: dialysis membrane, dialyzer, nutrition, hemodialysis, protein-energy wasting

Introduction

Albumin maintains the vast majority of intravascular colloidal osmotic pressure and plays a crucial role as a carrier protein and antioxidant.1,2 Homeostasis of this 66.5 kDa protein is maintained by the daily synthesis of approximately 10.5 g to compensate for an equal mass of albumin catabolism, including the relatively small contributions of renal (~6%) and gastrointestinal (~10%) clearance.2 Although albumin levels >3.5 g/dl are generally considered normal, there are data to suggest that levels should be even higher among healthy individuals.2 Fulks and colleagues demonstrated that albumin levels >4.8 g/dl were associated with 15%–18% relative risk reductions in mortality in an unselected population of men aged 20–49 years.3 Similar relationships between albumin levels and mortality were observed in women and in other age groups.

Across disease states, serum albumin concentrations decrease as a result of reduced synthesis and/or increased catabolism such that the protein is considered a negative acute phase reactant.2 Increased albumin synthesis, although capable of compensating for some level of increased catabolism, is not without limits.2,4 In some cases, increased synthesis of albumin is accompanied by increased synthesis of positive acute phase reactants such as fibrinogen.5 Independent of the underlying disease state, once compensatory mechanisms are exceeded and synthesis cannot keep up with albumin catabolism, clinically evident hypoalbuminemia will develop.6 Low serum concentrations of albumin have been associated with increased mortality risk in clinically stable, hospitalized, and acutely ill patients.7–9

Patients with moderate chronic kidney disease (CKD) are frequently found to have reduced serum albumin levels. In data derived from the 1999–2010 National Health and Nutrition Examination Survey (NHANES), 53% of patients with an estimated glomerular filtration rate (eGFR) <60 mL/min/1.73 m2 had albumin levels <4.2 g/dl.10 This can be contrasted with 33% of patients with preserved renal function (ie, eGFR ≥90 mL/min/1.73 m2) meeting the same criteria. Although the development of hypoalbuminemia in patients with CKD is often multifactorial, the proximate cause is an albumin synthesis rate that is outpaced by catabolic losses.11 As observed in the general population and in other disease states, hypoalbuminemia has been associated with increased morbidity and mortality in CKD populations. In the Trial to Reduce Cardiovascular Events With Aranesp Therapy (TREAT), every 1 g/dl increase in albumin at baseline was associated with a 42% reduced risk of kidney failure in a population of adults with type 2 diabetes, CKD, and anemia (median 2.2 year follow-up).12 Conversely, in a large retrospective cohort, mortality was incrementally increased as baseline serum albumin decreased below 4.6 g/dl.10 This relationship was observed across all eGFR categories studied (ie, 30–120 mL/min/1.73 m2).

In addition to being subject to the same predisposing factors experienced by those not requiring kidney replacement therapy, patients receiving maintenance hemodialysis (HD) experience increased protein catabolism, amino acid loss (contributing to malnutrition), and loss of albumin during dialysis. The combination of these factors puts the HD population at yet an even greater risk for hypoalbuminemia. Data from the Dialysis Outcomes and Practice Patterns Study (DOPPS) suggest that >60% of HD patients have albumin levels <4.0 g/dl.13 Low serum concentrations of albumin have consistently been shown to be a very strong predictor of mortality and morbidity in CKD populations.11,14–20 Lowrie and Lew19 first demonstrated the association between albumin concentrations and mortality risk in a cohort of more than 12,000 HD patients (Figure 1). These findings were replicated by Owen et al21 in a study of more than 13,000 HD patients; relative to the risk of death among patients with serum albumin levels of 4.0–4.4 g/dl, mortality was increased 48% and 213% among those with serum albumin concentrations of 3.5–3.9 g/dl and 3.0–3.4 g/dl, respectively.

Figure 1 Relative risk of death by albumin level among 19,746 patients receiving in-center hemodialysis. Data from Lowrie EG, Lew NL.19 Data presented as crude risk ratios. *P < 0.05 vs reference (ie, albumin of 4.01–4.50 g/dl).

Early data linking hypoalbuminemia and increased mortality have since been validated across many studies. A 2010 meta-analysis that included 38 studies and data for 265,330 HD patients demonstrated a clear inverse relationship between serum albumin and mortality (all-cause and cardiovascular).22 In a study of a large international cohort of incident HD (vintage <60 days at enrollment) patients published in 2020, 19% of first-year HD deaths were attributable to low serum albumin (ie, <3.5 g/dl).23 The attributable fraction for low serum albumin levels was second only to catheter use. In another recent study of 105 demographic, clinical, and laboratory variables, albumin was identified as the most important predictor of 5-year mortality among younger HD patients.24 Finally, among incident HD patients aged ≥65 years, albumin levels <3.0 g/dl independently predicted a >3-fold increased risk of death relative to that observed with albumin levels of ≥3.5 g/dl.25 Beyond increased mortality, lower albumin concentrations have also been associated with significant increases in hospital utilization. In an observational study by Rocco and colleagues, patients with albumin concentrations ≤3.49 g/dl were hospitalized in excess of 7 days more per year than patients with serum albumin >4.0 g/dl.16 Using hospitalization expenditure data from the 2018 US Renal Data System Annual Data Report,26 these excess hospitalizations could result in an extra $11,000 in hospital spending per patient annually. Additionally, in HD populations, hypoalbuminemia is predictive of new and worsening cardiovascular disease27 and reduced erythropoietin sensitivity.28

This article will examine albumin loss during conventional HD through dialyzers, including the loss associated with different types of HD membranes, the clinical relevance of such losses on serum albumin levels, and the research examining the impact of changes in serum albumin levels on outcomes among HD patients.

Causes of Reduced Albumin Levels in the HD Population

Hypoalbuminemia in the setting of CKD is often a manifestation of protein-energy wasting (PEW).29,30 PEW has been defined as a state of metabolic and nutritional alterations characterized by loss of protein and energy stores that leads to muscle and fat loss and cachexia.30–32 The risk factors for PEW, and therefore hypoalbuminemia, among patients with CKD are summarized in Figure 2.1,5,11,17,29,33–35 Reduced nutritional (protein and caloric) intake can result from anorexia secondary to uremic toxins, slowed gastric emptying, systemic inflammation, and comorbid disorders.29 Patients with CKD not receiving kidney replacement therapy are often prescribed dietary restrictions, including recommendations to reduce protein intake. These factors are compounded by increased albumin catabolism and loss. Comorbid illness (eg, infection and cardiovascular disease) can result in hypercatabolism. Renal and gastrointestinal losses of protein (including albumin) can further disrupt albumin homeostasis.1 With increased uremia, endocrine disorders (eg, insulin resistance, increased glucagon sensitivity, and hyperparathyroidism) can also impact albumin homeostasis.29,35 PEW places patients at risk for infection, depression, frailty, and cardiovascular disease, which, by contributing to malnutrition and inflammation, can further reduce nutritional status and reinforce a cycle ultimately leading to increasingly severe PEW and hypoalbuminemia.29,30,32,36

Figure 2 Derangements in albumin homeostasis in patients undergoing hemodialysis. Data from these studies.1,5,11,17,29,33–35

The progression to kidney failure and initiation of maintenance HD further predisposes an already at-risk population toward hypoalbuminemia (Figure 2). Although patients with CKD G5 treated by dialysis are advised to consume 1.2 g/kg/day of protein,30 maintaining such an intake can be difficult. In a study conducted among older adults undergoing HD, neither nutritional intervention nor nutritional intervention with a 6-month exercise program resulted in significant albumin increases.37 An undesirable consequence of increased dietary protein intake among HD patients is the increased risk of hyperphosphatemia, an independent risk factor for mortality among patients with kidney failure and those on HD.38–41 Although a plant-based diet reduces phosphorus intake,40,41 approximately 40% of patients on HD have serum phosphorus levels >5.5 mg/dl,42 and nearly 80% are treated with phosphate binders.43 Data from a recent study suggest that use of the phosphate binder sucroferric oxyhydroxide, with its relatively low pill burden and tolerable gastrointestinal side effect profile, may allow for controlling phosphorus levels without a concomitant decrease in albumin levels.44

Inadequate dialysis can further lead to reduced appetite and subsequent malnutrition.17,21 Additionally, inadequate dialysis can result in dilutional hypoalbuminemia. Similarly, pre-dialysis albumin levels can also be spuriously low secondary to fluid retention. As such, post-HD assessment of albumin levels is considered preferable over pre-HD assessments.45

Loss of Albumin During Dialysis

Hemodialysis equipment, including the dialyzer membrane, results in foreign body exposure capable of triggering an inflammatory state—a known cause of reduced albumin levels.34 Current membranes offer similar levels of biocompatibility and represent an improvement over early, regenerated cellulose (ie, Cuprophan®) membranes.46 In addition to protein losses into dialysate (discussed below), protein adsorption to the membrane and tubing can occur.1,29,47

Given their small size, a considerable mass of amino acids is lost into the dialysate with each HD session. Data suggest that patients will lose approximately 6–8 g of total amino acids per session.18,33,35,48 Increased membrane surface area and blood flow have both been associated with increased amino acid loss.33,35 Larger pores facilitate the removal of water and solute through the membrane but can result in albumin loss. Conversely, smaller pores can impede removal of so-called middle molecules such as β2-microglobulin but prevent albumin loss. Although dialyzer reuse is now rare in Europe and North America, it is still a practice common in other parts of the world.49 Such practices, including cleaning with bleach, can significantly alter dialyzer permeability and markedly increase albumin losses into the dialysate.11,17,34

Gomez

Impact of Different Dialyzers on Albumin Levels

The ideal dialyzer facilitates removal of toxins from the blood while avoiding loss of physiologically beneficial molecules.46 Until such a dialyzer is developed, the selection of dialyzers should suit the needs of a given patient, with additional consideration to the HD facility and to cost.46,50 As will be discussed in greater detail, most membranes used for conventional HD can be broadly categorized as low flux or high flux. Relative to low flux dialyzers, high flux dialyzers offer greater permeability and enhanced removal of toxins with medium and high molecular weights.1 A group of newer membranes for maintenance HD—sometimes termed protein-leaking51 or medium cut-off (MCO)52 membranes—aim to further enhance clearance of middle molecules. In this section, we will examine the albumin losses and impact on serum albumin levels with different dialyzer membranes. Although we will approach our discussion by dialyzer category, it is important to recognize that there is considerable variability in albumin loss within each category.5 In a study of “high performance membranes”—a classification system used in Japan—albumin loss per HD session varied from less than 1 g to nearly 8 g.53

High Flux Membranes

Representing “a compromise between simplicity and efficiency,” dialyzers with high flux membranes are the most commonly used form for maintenance HD.54 Over a single dialysis session, albumin loss with high flux membranes is negligible.5,33 Because albumin is distributed across intravascular and interstitial compartments, and these compartments are impacted by fluid shifts during HD, albumin losses in the dialysate are not always reflected as reductions in serum albumin after dialysis. In fact, high flux dialyzers are generally associated with initial increases in serum albumin concentrations. Following HD sessions with the Optiflux® F160NR dialyzer (Fresenius Medical Care North America, Waltham, MA, USA), patients experienced an average increase in serum albumin levels of approximately 8%.55 A comparable increase was observed after an initial dialysis session with the Optiflux® Enexa™ dialyzer, a high flux dialyzer that contains a fluorinated polyurethane surface-modifying macromolecule blended in the membrane during manufacturing.56 Such increases likely result from intradialytic fluid loss.45 There are data suggesting that long-term HD with (single-use) high flux dialyzers is associated with increases in pre-dialysis serum albumin levels over time. In a study of 976 patients receiving in-center HD with 1 of 4 high flux dialyzers (Optiflux® F160NR, F180NR, F200NR, or F250NR), pre-HD albumin levels demonstrated small but statistically significant increases over 6 months (0.05–0.11 g/dl).57 When the analysis was limited to those 156 patients with hypoalbuminemia (≤3.5 g/dl) at baseline, a mean increase in serum albumin of 0.31 g/dl (0.34, 0.29, and 0.28 g/dl with the F160NR, F180NR, and F200NR/F250NR dialyzers, respectively) was observed (Figure 3).57 The increases in serum albumin levels observed with high flux dialyzer use persist, and possibly increase, over time. In a study of 30 HD patients switched from low flux dialyzers to high flux (FX60; Fresenius, Bad Homburg, Germany) dialyzers, Li and colleagues observed significant increases in serum albumin levels after 3 years of use following nonsignificant increases at 1 year.58

Figure 3 Change in serum albumin levels after 6 months of hemodialysis with different high flux dialyzers among 156 patients with baseline hypoalbuminemia (≤3.5 g/dl). Data from Zhou et al.57

Protein-Leaking Membranes: Albumin Losses During Dialysis

Protein-leaking membranes, including MCO membranes, were developed to facilitate removal of larger, middle molecules during HD.5,59 These membranes were introduced as early as 1998.60 More permeable than high flux membranes, MCO membranes remain less permeable than high cut-off membranes generally reserved for situations in which increased protein removal is therapeutic (eg, multiple myeloma or acute kidney injury secondary to rhabdomyolysis).52

In a study of 6 patients receiving HD with an MCO dialyzer, albumin losses of 2.0–4.0 g per session were recorded.52 Albumin losses associated with MCO membranes were further examined in a pair of prospective, open-label, controlled, randomized, crossover pilot studies conducted among 39 prevalent HD patients.59 In Study 1, the Theranova 400® MCO dialyzer (Baxter Healthcare Corporation, Deerfield, IL, USA) was associated with greater albumin losses (median 2.9 g [range 1.5–3.9]) than the high flux comparators (FX CorDiax 80 and FX CorDiax 800; Fresenius Medical Care Deutschland, Bad Homburg, Germany; median 0.2 g). Even greater albumin losses were reported for 2 MCO dialyzer prototypes. In a similarly designed study (ie, Study 2) median albumin losses were 3.2 g and 0.4 g with the Theranova 400 dialyzer and high flux dialyzers, respectively. These findings have been replicated in a small (N = 6) study from South Korea demonstrating greater albumin losses with an MCO membrane (Theranova 400; median 3.16 g per session) than with a high flux membrane (Rexeed™-21A; Asahi Kasei Medical Co., Ltd., Tokyo, Japan; median 0.06 g per session).61 The loss of albumin with MCO dialyzers does not appear to be impacted by increasing the membrane surface from 1.7 m2 (Theranova 400) to 2.0 m2 (Theranova 500TM; Baxter Healthcare Corporation, Deerfield, IL, USA).62 In summary, the median albumin loss per HD session with MCO dialyzers appears to be approximately 3 g, with some variability across individuals.

Protein-Leaking Membranes: Changes in Serum Albumin Levels

Consistent with the loss of albumin in the dialysate following HD with an MCO dialyzer, most studies have demonstrated reductions in serum albumin concentrations over time with these membranes (Table 1).52,63–73 It is worth noting that the analyses in these studies were generally not adjusted for confounding factors that may impact serum albumin levels. In a trial utilizing a prototype MCO membrane (MCO-Ci 400®; Gambro Dialysatoren GmbH, Hechingen, Germany), patients lost an average of 8.5 g of albumin per session and demonstrated a reduction in serum albumin of approximately 5% after 4 weeks of use (P < 0.01).63,64 Over the subsequent 8 weeks, nonsignificant increases in serum albumin levels were observed. In a crossover trial comparing the Theranova 400 membrane with conventional high flux membranes (ie, FX8, FX10, FX80, FX100, BK1.6, and BH2.1; Fresenius Medical Care, Bad Homburg, Germany) in prevalent HD patients (N = 20), significant reductions in serum albumin levels (median 0.45 g/dl) were observed during treatment with the MCO membrane.65 In a second crossover trial, 3 months of HD with an MCO dialyzer (Theranova 500) was associated with moderate hypoalbuminemia.66 Recently published data from the Expanded Hemodialysis Registry Protocol in Colombia (COREXH) Registry from nearly 1000 HD patients also demonstrated statistically significant reductions in serum albumin with MCO membrane use.67 Maximal reductions in albumin levels were evident at month 3. In the small study (N = 6) mentioned previously, Ronco and colleagues did not note changes in serum albumin levels after 6 months of HD with an MCO dialyzer (baseline albumin ~3.5 mg/dl).52

Table 1 Longitudinal Changes in Serum Albumin Concentrations in Studies of Protein-Leaking Dialyzers

In a recent trial of 50 patients randomized to receive 12 weeks of HD with an MCO dialyzer (Theranova 400) or with a high flux (FX CorDiax 60 or 80) dialyzer, serum albumin levels decreased by a mean (SD) of 0.13 (0.23) g/l in the MCO group.69 There was a 0.02 g/dl mean decrease in albumin levels among patients receiving HD with the high flux dialyzer. In a separate randomized, prospective, open-label, crossover study, 3 months of HD with MCO dialyzers (Theranova 500) resulted in significant decreases in pre-dialysis serum albumin levels.70 In contrast, nonsignificant increases in serum albumin levels were observed after 3 months of HD with high flux dialyzers (FX CorDiax 80 dialyzer).

Gomez peer review

The impact of long-term HD with an MCO membrane was evaluated in the open-label, nonrandomized Trial Evaluating Mid Cut-Off Value Membrane Clearance of Albumin and Light Chains in Haemodialysis Patients (REMOVAL-HD).71,72 Across 9 HD facilities in Australia and New Zealand, 89 participants underwent a 4-week wash-in period, during which they received HD with a high flux dialyzer. Patients then received 24 weeks of HD with an MCO dialyzer (Theranova 400). Serum albumin levels were reduced from baseline by an average of 0.07 g/dl (95% CI –0.15 to 0.01) at 6 months.71 Notably, use of the MCO dialyzer did not result in improvements in quality of life, restless leg symptoms, functional status (as assessed by the 6-minute walk test), or nutritional status (as assessed by the Malnutrition Inflammation Score). The long-term effects of an MCO dialyzer in a conventional HD setting were also studied by Cho et al.73 In a cohort of 57 patients, serum albumin levels did not significantly decrease over the course of a year. The researchers proposed that increases in hepatic albumin synthesis were able to compensate for albumin lost during dialysis. Note that the mean (SD) baseline serum albumin level in the study population was 3.96 (0.31) g/dl. We suggest that the capability to significantly increase albumin synthesis, although present in patients with normal albumin levels, may be limited in patients with hypoalbuminemia at baseline and those with systemic inflammation and albumin catabolism exceeding albumin synthesis.

Clinical Outcomes Associated with Temporal Changes in Serum Albumin Levels

Whereas ample data support an association between hypoalbuminemia and poor outcomes, and growing evidence has demonstrated greater albumin losses with MCO dialyzers (vs high flux dialyzers), data to suggest that correction or preservation of serum albumin levels improves mortality and/or morbidity in HD patients are limited. In a large cohort of HD patients (N = 30,827), those whose serum albumin increased by ≥0.3 g/dl within 6 months were 22% less likely to die within 18 months than those with stable serum albumin levels (Figure 4).74 Based on these data, it has been suggested that interventions capable of increasing serum albumin to levels >3.8 g/dl could prevent approximately 10,000 deaths among HD patients each year in the United States. Conversely, even modest reductions in serum albumin levels of 0.1–0.2 g/dl—as observed with many of the studies of protein-leaking dialyzers described above—were associated with significant increases in mortality. Reductions in serum albumin levels of 0.3 g/dl or greater were associated with a doubling of mortality risk.

Figure 4 Impact of temporal changes in serum albumin levels on subsequent mortality risk. MICS, malnutrition–inflammation complex syndrome. Reproduced from Kalantar-Zadeh K, Kilpatrick RD, Kuwae N, et al. Revisiting mortality predictability of serum albumin in the dialysis population: time dependency, longitudinal changes and population-attributable fraction. Nephrology Dialysis Transplant. 2020;20(9):1880–1888, by permission of Oxford University Press.74

Current Evidence Base and Conclusions

For more than a quarter of a century, we have recognized that reduced levels of serum albumin predict morbidity and mortality among HD patients. A multitude of factors contribute to PEW and the associated risk of hypoalbuminemia in patients with CKD. Many causes such as inflammation, endocrinopathies, renal dysfunction, and acidemia are inherent to CKD and only partially modifiable. Reduced nutritional intake of protein—a key component of PEW—is a manifestation of the complex interactions among physician-prescribed dietary recommendations, comorbid illness, disease-associated anorexia, social and physical constraints, and inflammation. In one study, by the time patients reached kidney failure, only 11% were found to have albumin concentrations of 4.0 g/dl, and more than 36% had levels <3.0 g/dl.75 Hemodialysis can put patients at even greater risk of hypoalbuminemia as a result of further impairment of nutritional intake and nutrient and albumin losses during dialysis. Whereas amino acid loss occurs with all conventional HD dialyzers, albumin losses into the dialysate appear to vary greatly depending on the dialyzer used. Although there are no head-to-head randomized controlled trials comparing the long-term outcomes associated with different dialyzers, an “excessive” loss of albumin is a theoretical concern with the chronic use of increasingly permeable dialyzers.59 A recent evaluation of 2 MCO dialyzers (Theranova 400 and 500) by the Centers for Medicare & Medicaid Services (CMS) noted “there may be increased removal of albumin with MCO membranes compared to conventional high-flux dialysis, which could have negative health consequences.”76

To date, no definition of “excessive” albumin loss during dialysis has been proposed or accepted.63 For context, the loss of 3.0–3.5 g of protein per day via urine would satisfy diagnostic criteria for proteinuria associated with nephrotic syndrome. Whereas the use of MCO dialyzers appears to result in a similar magnitude of albumin loss, the impact of these dialyzers on serum albumin levels is quite variable.51 Temporal changes in serum albumin levels—even modest changes (0.1–0.2 g/dl)—have been shown to significantly impact survival.74 Such data, although not adjusted for dialyzer type or middle molecule removal, suggest that minor reductions in serum albumin are associated with increased all-cause and cardiovascular mortality.

The potential impact of replacing use of high flux membranes with use of MCO membranes to increase removal of middle molecules remains understudied. MCO membranes were developed to help determine whether the retention of medium-high molecular weight solutes contributes to poor clinical consequences and whether removal of those middle molecules during HD improves outcomes.54 To date, no strong evidence supports a survival benefit associated with increasing removal of middle molecules.1,77,78 Available data comparing MCO and high flux dialyzers are derived from small observational studies. Such studies have a high potential for bias. Furthermore, although derived from subgroup analyses, data from the Membrane Permeability Outcome study suggest a survival benefit associated with use of a high flux dialyzer (vs a low flux dialyzer) among patients with serum albumin <4.0 g/dl (hazard ratio [95% CI] 0.63 [0.45–0.90]; P = 0.010).78 The lack of clear clinical benefit with MCO dialyzers was a key conclusion in the aforementioned CMS review of 2 MCO dialyzers.76

The available data comparing the impact of dialyzers of differing permeability on serum albumin levels and clinical outcomes, although informative, are not without limitations. Whereas increased albumin losses may have nondetrimental effects among patients with the ability to mount compensatory responses, patients at particularly high risk for derangements in albumin synthesis (eg, liver disease, poor nutrition) may be unable to mount such a response. We are unaware of studies devoted to studying the effects of different dialyzers among such patients. Similarly, the results of studies of short duration may not adequately capture long-term trends or reflect changes in compensatory mechanisms over time or with worsening underlying health status. Conversely, while data conclusively demonstrate an association between low serum albumin levels and adverse outcomes, they do not, even with multivariate adjustment, establish causality. In several studies, the role of serum albumin as a predictive marker for mortality was observed only among patients exhibiting evidence of inflammation or an acute-phase response (eg, elevated levels of C-reactive protein).79–81 Albumin levels have also been considered a surrogate for the broader nutritional status of patients.2 Thus, low albumin levels, although predictive of increased mortality, may not be the proximate cause of adverse outcomes in HD patients.17 Reduced albumin levels can also be indicative of comorbid illnesses (eg, hepatic disease) capable of adversely impacting survival.

Although we know from DOPPS data that a majority of HD patients have serum albumin levels <4.0 g/dl,13 patients with hypoalbuminemia appear to be underrepresented in many of the studies detailed above. This discrepancy might, in part, result from study designs that exclude patients with serious comorbid illnesses that can negatively impact albumin levels. Future studies should examine the effects of dialyzer selection among patient cohorts with moderate to severe hypoalbuminemia.

Conventional HD is one of many factors contributing to the risk of hypoalbuminemia in the setting of kidney failure. Strategies for reducing the risk of hypoalbuminemia in this population include improving systemic inflammation, preventing infection, optimizing nutritional status, and ensuring the appropriate management of comorbid conditions. Albumin loss secondary to increased clearance into dialysate appears capable of impacting serum albumin levels in at-risk patients. With an increasing number of dialyzer options, there is a need to further examine the clinical effects of removal of middle molecules at the “expense” of albumin loss. Large clinical studies of longer duration are needed, as there is insufficient clinical evidence regarding the safety and efficacy of protein-leaking membranes. Head-to-head trials examining laboratory parameters, quality of life, and clinical endpoints (including survival) represent the preferred method for addressing many of the open clinical questions. Until the availability of such data, clinicians should be mindful of dialysis-associated albumin losses and consider dialyzer changes (eg, discontinuation/avoidance of protein-leaking membranes) and/or nutritional interventions (eg, intradialytic nutritional supplements), particularly among patients with evidence of hypoalbuminemia.

Acknowledgment

Medical writing and editing support were provided by Adam Perahia, MD, of NorthStar Strategic Consulting, LLC, via funding by Fresenius Medical Care Renal Therapies Group.

Author Contributions

All authors made substantial contributions to conception and design, acquisition of data, or analysis and interpretation of data; took part in drafting the article or revising it critically for important intellectual content; agreed to submit to the current journal; gave final approval of the version to be published; and agree to be accountable for all aspects of the work.

Funding

Writing and editorial support funded by Fresenius Medical Care Renal Therapies Group.

Disclosure

KK-Z has received honoraria and/or support from Abbott, AbbVie, Alexion, American Society of Nephrology, Amgen, AstraZeneca, AVEO, Chugai, DaVita, Fresenius, Fresenius Kabi, Genentech, Haymarket Media, Hospira, International Federation of Kidney Foundations, International Society for Hemodialysis, International Society of Renal Nutrition and Metabolism, Japanese Society for Dialysis Therapy, Keryx, National Institutes of Health, National Kidney Foundation, Novartis, OPKO, Pfizer, Relypsa, Resverlogix, Sandoz, Sanofi, Shire, UpToDate, Vifor, ZS Pharma, and Zucker School of Medicine. LHF, CM, and MSA are employees of Fresenius Medical Care Renal Therapies Group. CM is a stockholder in Fresenius Medical Care. JB is an employee of Fresenius Kidney Care and consultant to Fresenius Medical Care Renal Therapies Group. The authors report no other conflicts of interest in this work.

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