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Home hemodialysis in children
Daljit K Hothi1, Lynsey Stronach1, Kate Sinnott1
1Nephrology Department, Great Ormond Street Hospital for Children, London, UK.
Hemodialysis International. International Symposium on Home Hemodialysis
|April 11, 2016
Summary
Pediatric home hemodialysis offers a vital solution for children with end-stage renal disease awaiting transplants. This review provides practical guidance for implementing home hemodialysis in children.
Area of Science:
- Nephrology
- Pediatric Dialysis
Background:
- Home hemodialysis is underutilized in pediatric end-stage renal disease (ESRD) patients.
- There is a growing global need for accessible ESRD treatments for children.
- Kidney transplantation access is limited for many pediatric ESRD patients.
Purpose of the Study:
- To expand existing resources on home hemodialysis for the specific needs of pediatric patients.
- To provide practical recommendations and tools for clinicians managing pediatric home hemodialysis.
- To support the implementation of quotidian dialysis for children.
Main Methods:
- Review of existing literature and center experiences in pediatric home hemodialysis.
- Expansion of the "Implementing Hemodialysis in the Home" website content.
- Development of tailored information for pediatric patient populations.
Main Results:
- Centers successfully manage pediatric patients on home hemodialysis with positive outcomes.
- Key considerations for pediatric home hemodialysis include infrastructure, staffing, equipment, and prescriptions.
- Effective patient selection and training are crucial for successful implementation.
Conclusions:
- Home hemodialysis is a feasible and beneficial treatment option for pediatric ESRD.
- Clinicians require specific guidance and tools to establish and manage pediatric home hemodialysis programs.
- Optimizing home hemodialysis can improve quality of life for children with ESRD.
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