Renal Association Working Party on Home Haemodialysis.-Guideline

Robert Mactier, Sandip Mitra

Research output: Other contributionpeer-review

Abstract

Home haemodialysis (HD) was first available to patients with ESRD in the 1960s and
quickly became the most common dialysis modality. Patients on home HD are
responsible for their own treatment and to some extent their own health. It avoids
travelling time to dialysis units (a generally unsatisfactory experience) and requires
less support from specialist nursing staff. Observational data suggest that patient
survival is superior on home HD compared to facility-based HD (1-3) and technique
survival with home HD is higher than peritoneal dialysis (PD) (4), even after
adjustments for patient selection and case-mix. The explanation for this improvement
in outcomes is thought to be related to benefits derived from greater patient
involvement in their healthcare, better adherence to their diet and fluid balance and
superior solute clearances achieved through better dialysis schedules. However,
home HD is a less expensive option than facility-based HD (5,6).
Original languageEnglish
PublisherRenal Association
Publication statusPublished - 2010

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