What is Home Hemodialysis and Why is Home Dialysis Right for Some Patients?

Home dialysis usually refers to a hemodialysis technique that uses a home hemodialysis machine to dialyze the blood of patients with chronic kidney failure. Home hemodialysis is usually performed by patients every day, but for a shorter period of time than in-center dialysis treatments.

Some studies suggest that by dialyzing every day, patients may have better overall outcomes than less frequent in-center dialysis. Patients who are considering home hemodialysis need to be capable of managing their medications and treatment protocols at home.

 

Peritoneal dialysis is another form of home dialysis treatment, but in this case the dialysate (bags of filtering solution) are instilled and drained through a catheter that is placed in the abdominal cavity. Peritoneal dialysis is usually performed at home and at night, and requires the help of a family member or friend.

Hemodialysis.com will present articles and research publications that addess home dialysis below:

Home Dialysis | Home Hemodialysis | Out of Center Dialysis and Hemodialysis
Updated January 23 2013

Patient shares how at-home hemodialysis fits his lifestyle

Dialyzing at home has several advantages for dialysis patients, including providing independence and an ability to dialyze when it is convenient (within prescription guidelines), as well as instilling confidence in their ability to perform self-care at home.  Like many patients who have switched to home treatments, Chuck Letner wasn’t a stranger to dialysis treatment, in fact; he has nearly 30 years of experience.

Letner was diagnosed with renal dysplasia when he was six years old and he began dialysis treatments in 1979 after his body rejected the second of two donor kidneys. After approximately 12 years of visiting in-center facilities – with four years off dialysis in the middle of those years following a kidney transplant – Letner decided to make the switch to at-home hemodialysis treatment and has never looked back.

Racial Differences in Initial Dialysis Access and Hospitalizations among Home Hemodialysis Patients

Ir J Med Sci. 2012 Jun 3. [Epub ahead of print]

Connaughton DM, Jamal A, McWilliams J, O'Kelly P, Ormond J, Butler A, McEntee N, Tierney E, Lambe G,
Denton M, Magee C,Conlon PJ.

Department of Nephrology, Beaumont Hospital, Dublin 9, Ireland

Innovative Dialysis Systems New National Director of Home Dialysis
FREEDOM Study Data: Patients Experience Sustained Quality of Life Benefits with More Frequent Home Hemodialysis with the NxStage System One

Study Shows NxStage Daily Home Hemodialysis Patients More Likely to Receive Kidney Transplant

Study First of its Kind to Show Difference in Transplant Incidence Associated with Daily Home Hemodialysis vs. Conventional Thrice-Weekly Dialysis

Kidney Dialysis Leaders Gather in Washington to Seek Policy Solutions for Improving Home Dialysis

WASHINGTON, March 29, 2012 /PRNewswire via COMTEX/ -- Today, more than fifty invited leaders in the field of kidney dialysis - including patients, clinicians, industry, and policymakers - assembled in Washington, D.C. for the first-ever National Summit on Home Dialysis Policy. The group came together to identify common concerns and opportunities to drive appropriate utilization of home dialysis and identify pathways for collaborative action. Home dialysis, including peritoneal dialysis and home hemodialysis, are alternatives to in-center treatment, which requires patients to visit a clinic or hospital three to four times per week.

NKF Participates in National Summit on Home Dialysis Policy

New York, NY--While 398,000 patients in the U.S. receive dialysis treatment for kidney failure, only ten percent dialyze at home.   A recent report in the National Kidney Foundation’s American Journal of Kidney Diseases  suggested that as a result of systematic barriers, patients are not alwaysreceiving the option of home dialysis, despite the therapy’s advantages in terms of convenience for patients and cost-effectiveness for the health system.  The obstacles to home dialysis included inadequate education, excessive regulation and provider philosophy and practice. 

Satellite Health Care Sponsors National Summit on Home Dialysis Policy in Washington, D.C.

SAN JOSE, Calif., Mar 26, 2012 (BUSINESS WIRE) -- Satellite Healthcare, one of the nation's first and largest providers of kidney dialysis services and a major sponsor of nephrology research, is pleased to announce that Leslie Wong, M.D., Vice President of Clinical Affairs, will lead the Quality Measures and Initiatives panel during the first National Summit on Home Dialysis Policy in Washington, D.C., on March 29.

Author Interview: Drs. Martina Ferraresi and Giorgina Piccoli
Why home hemodialysis? A systematic “marketing” analysis.

Piccoli GB, Ferraresi M, Consiglio V, Scognamiglio S, Deagostini MC, Randone O, Vigotti FN, Calderale PM.

SS Nephrology, Department of Clinical and Biological Sciences, San Luigi University Hospital, Turin - Italy

J Nephrol. 2012 Feb 9:0. doi: 10.5301/jn.5000088. [Epub ahead of print]

Author Interview: Dr. Christopher Chan
Caregiver burden among nocturnal home hemodialysis patients

Rioux, J.-P., Narayanan, R. and Chan, C. T. (2012), Caregiver burden among nocturnal home hemodialysis patients. Hemodialysis International. doi: 10.1111/j.1542-4758.2011.00657.x

Author Interview: Dr. Gihad E. Nesrallah

Intensive Hemodialysis Associates with Improved Survival Compared with Conventional Hemodialysis


Gihad E. Nesrallah, Robert M. Lindsay, Meaghan S. Cuerden, Amit X. Garg,Friedrich Port, Peter C. Austin, Louise M. Moist, Andreas Pierratos,Christopher T. Chan, Deborah Zimmerman, Robert S. Lockridge, Cécile Couchoud,Charles Chazot, Norma Ofsthun, Adeera Levin, Michael Copland, Mark Courtney, Andrew Steele, Philip A. McFarlane, Denis F. Geary, Robert P. Pauly,  Paul Komenda,
and Rita S. Suri

JASN Feb 23, 2012 ASN.2011070676; 
published ahead of print February 23, 2012,doi:10.1681/ASN.2011070676

Author Interview: Paul Komenda MD

An economic assessment model for in-center, conventional home, and more frequent home hemodialysis

Paul Komenda, Meghan B Gavaghan, Susan S Garfield, Amy W Poret and Manish M Sood
Kidney International advance online publication 12 October 2011; doi: 10.1038/ki.2011.338

Effect of an In-Hospital Chronic Kidney Disease Education Program among Patients with Unplanned Urgent-Start Dialysis.

Clin J Am Soc Nephrol. 2011 Jan 6.

Rioux JP, Cheema H, Bargman JM, Watson D, Chan CT.
Department of Medicine, University Health Network, Toronto, Ontario, Canada.

Electrolyte Management in Frequent Home Hemodialysis.

King RS, Glickman JD.
Semin Dial. 2010 Dec 20.
doi: 10.1111/j.1525-139X.2010.00792.x.

Determinants and predictors of successful home hemodialysis training in a multi-center US observational cohort
Christopher Chan, MD1; John Moran, MD, FRACP, FACP2

Read the Author Interview:
Determinants and predictors of successful home hemodialysis training in a multi-center US observational cohort
Christopher Chan, MD1; John Moran, MD, FRACP, FACP2

Optimizing home dialysis: role of hemodiafiltration.

Contrib Nephrol. 2011;168:64-77.

Vilar E, Farrington K, Bates C, Mumford C, Greenwood R.
Lister Renal Unit, Lister Hospital, Stevenage, UK.

Outcomes in patients on home haemodialysis in England and Wales, 1997-2005: a comparative cohort analysis.

Nephrol Dial Transplant. 2010 Sep 14

Nitsch D, Steenkamp R, Tomson CR, Roderick P, Ansell D, Macgregor MS.
Department of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.

Hemodialysis patients' perceptions of home hemodialysis and self-care.
CANNT J. 2010 Apr-Jun;20(2):23-8. Visaya MA.
Grand River Hospital, Emergency Department, ON.

Older peoples' satisfaction with home-based dialysis.
Nephrology (Carlton). 2010 Jun;15(4):464-70.
Derrett S, et a

Recruitment and Training for Home Hemodialysis: Experience and Lessons from the Nocturnal Dialysis Trial.
Clin J Am Soc Nephrol. 2010 Jun 24
Pipkin M, et al
Charlottesville, Virginia;

Utilization and Outcome of 'Out-of-Center Hemodialysis' in the United States: A Contemporary Analysis.
Nephron Clin Pract. 2010 May 21;116(1):c53-c59.
Macrae JM, et al

 
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