+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

International variations and trends in home hemodialysis

International variations and trends in home hemodialysis

Advances in Chronic Kidney Disease 16(3): 205-214

Home hemodialysis, once a valid, viable dialysis choice, faded as facility-based care was preferentially funded and supported through the 1970s and 1980s. It was simply more comfortable for providers, physicians, and nurses to capture dialysis patients through clinic schedules and clinical protocols. Home patients were unpredictable, out of sight and out of control, trouble, and best avoided. This was so except in Australia and New Zealand where funding and support remained strong for what was seen there as an effective, outcome-rich, and cost-effective modality. The renaissance of home hemodialysis began in Canada when home-based nocturnal dialysis emerged in the 1990s. Home patients soon appreciated the self-determination and re-employment opportunities that overnight dialysis delivered. This article explores the origins, the near demise, the foundations of renewal, and the now-expanding potential of home and nocturnal hemodialysis in regions as diverse as North America, Australia and New Zealand, South East Asia, the United Kingdom, and Finland. Home dialysis fed by cost containment, outcome success, patient acceptance, and new smart equipment has emerged as a bright new modality option. Trainee nephrologists would be wise to take more notice as this near ghost of the past forges an exciting future.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 053922738

Download citation: RISBibTeXText

PMID: 19393971

DOI: 10.1053/j.ackd.2009.02.007

Related references

Home hemodialysis: a comparison of in-center and home hemodialysis therapy in a cohort of successful home hemodialysis patients. Asaio Journal 55(4): 361-368, 2009

Recent Trends in Home Hemodialysis Therapy in Japan. Contributions to Nephrology 189: 54-60, 2017

Current international status of home hemodialysis. Contributions to Nephrology 177: 106-116, 2012

Trends and variations in intravenous vitamin D use among hemodialysis patients in the United States. Renal Failure 35(1): 1-8, 2013

Home haemodialysis-international trends and variation. Nephrology Dialysis Transplantation 21(7): 1934-1945, 2006

Technical considerations for short daily home hemodialysis and nocturnal home hemodialysis. Advances in Renal Replacement Therapy 8(4): 268-272, 2001

An international perspective on home care. Trends and highlights in six countries. Caring 9(1): 4-7, 1989

Seasonal variations in mortality and clinical indicators in international hemodialysis populations from the MONDO registry. Bmc Nephrology 16: 139, 2015

International variations and temporal trends in mortality from multiple myeloma. International Journal of Cancer 32(1): 13-20, 1983

International variations and trends in testicular cancer incidence and mortality. European Urology 65(6): 1095-1106, 2015

Home hemodialysis, daily hemodialysis, and nocturnal hemodialysis: Core Curriculum 2009. American Journal of Kidney Diseases 54(6): 1171-1184, 2009

International trends and home relations of the development of metal containers in the food industries. 1970

Hemodynamic and prostaglandin level variations during hemodialysis acetate hemodialysis vs. bicarbonate hemodialysis comparison. Blood Purification 1(2): 100, 1983

Time trends and international geographic variations related to diet and cancer. Progress in Clinical and Biological Research 346: 21-34, 1990

International variations and trends in renal cell carcinoma incidence and mortality. European Urology 67(3): 519-530, 2015