Patients who develop hospital-acquired acute renal failure (ARF) that requi
re dialytic support have high mortality rates. The potential impact of dial
yzer membrane biocompatibility on clinical outcomes in ARF has been a subje
ct of ongoing controversy. This article summarizes the clinical trials publ
ished to date that have examined the effect of dialyzer membrane biocompati
bility on clinical outcomes of patients with ARF who require intermittent h
emodialysis. A redirection of research endeavors in the field of dialysis i
n ARF is also argued.