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Updated: Jun 8, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

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Published on: April 12, 2021

Perceptions about renal replacement therapy among nephrology professionals.

Brigitte Schiller¹, Andrea Neitzer, Sheila Doss

¹Satellite Healthcare, USA.

Nephrology News & Issues

|October 15, 2010

Summary

Nephrologists and nurses prefer home dialysis therapies for end-stage renal disease patients. When considering themselves as patients, over 90% chose home hemodialysis or peritoneal dialysis.

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Last Updated: Jun 8, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

Area of Science:

Nephrology
Renal Replacement Therapy

Background:

End-stage renal disease (ESRD) treatment modality selection varies globally, influenced by non-medical factors.
In the U.S., in-center hemodialysis dominates (93%), with peritoneal dialysis at 7% and home hemodialysis <1%.
A U.S. provider achieved 22% home therapy penetration, significantly higher than the national average.

Purpose of the Study:

To explore the perceptions of nephrologists and nurses regarding renal replacement therapy (RRT) modality choices.
To understand healthcare professionals' preferences when hypothetically placed in a patient role.

Main Methods:

A questionnaire was administered to nephrology professionals (nephrologists and nurses).
Participants considered their own RRT choices in a hypothetical patient scenario.
Perceptions of decision-making roles in modality selection were also examined.

Main Results:

Over 90% of nephrology professionals selected a home therapy (peritoneal dialysis or home hemodialysis) as their initial treatment preference.
Home hemodialysis emerged as the preferred maintenance therapy modality.
Significant variation was observed in perceptions regarding who makes modality decisions.

Conclusions:

Nephrology professionals exhibit a strong preference for home dialysis modalities when considering personal treatment options.
Findings suggest a potential disconnect between provider preferences and current patient modality utilization in the U.S.
Further investigation into decision-making dynamics is warranted to understand RRT modality choices.