Laboratory assessment of the haemoglobin, haematocrit, white blood cell count, platelet count was measured at weekly intervals. Aspartate amino transferase, alanine aminotransferase, albumin, alkaline phosphatase, C- reactive protein, potassium, phosphorus, serum ferritin, serum iron, serum transferrin, total iron-binding capacity were measured at monthly intervals. Physical examinations including chest, heart, abdomen examination and evaluation of the volume status were performed at baseline, monthly and at the final visit. Fractional clearance of urea (Kt/V) or urea reduction ratio was used to assess adequacy of haemodialysis at baseline then monthly as unit protocol.