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Updated: Apr 12, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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Enabling self-management: selecting patients for home dialysis?

Alastair J Hutchison1, Jonathan J Courthold1

  • 1Manchester Institute of Nephrology & Transplantation, The Royal Infirmary, Manchester, UK.

NDT Plus
|May 8, 2015
PubMed
Summary

Promote kidney transplant first. For kidney failure patients not receiving transplants, provide comprehensive dialysis options, emphasizing home-based treatments. Empowered patients can become advocates for self-management, improving outcomes and motivation.

Keywords:
Home haemodialysispatient choicepatient participationperitoneal dialysispre-dialysis

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Area of Science:

  • Nephrology
  • Renal Medicine
  • Transplantation

Background:

  • Kidney failure necessitates renal replacement therapy.
  • Pre-emptive living donor transplantation is the preferred first-line treatment.
  • Dialysis options, including home-based therapies, require patient understanding.

Purpose of the Study:

  • To emphasize the importance of promoting pre-emptive living donor transplantation.
  • To highlight the need for comprehensive patient education on all dialysis modalities.
  • To explore the benefits of patient self-management and advocacy in home dialysis.

Main Methods:

  • Literature review on kidney failure treatment pathways.
  • Analysis of patient self-selection and motivation in dialysis.
  • Discussion of staff training requirements for home dialysis support.

Main Results:

  • Patient self-management in dialysis units leads to better outcomes.
  • Motivated patients can overcome challenges and exceed expectations.
  • Staff confidence in discussing home dialysis requires direct experience and training.

Conclusions:

  • Pre-emptive living donor transplantation should be prioritized.
  • Timely and thorough information on all dialysis options is crucial.
  • Supporting patient self-management and providing a smooth transition to home dialysis improves patient engagement and outcomes.