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Daily Dialysis: Toward a New Standard in Well-Being.
Giorgina B Piccoli1, Francesca Bechis1, Marco Pozzato2
1Cattedra di Nefrologia, University of Torino.
Hemodialysis International. International Symposium on Home Hemodialysis
|April 29, 2017
Summary
Daily hemodialysis (DHD) offers improved well-being for most patients within two weeks. This study suggests a 2-4 week trial period to assess benefits against logistical challenges for long-term DHD suitability.
Area of Science:
- Nephrology
- Renal Replacement Therapy
- Patient-Reported Outcomes
Background:
- Daily hemodialysis (DHD) presents logistical and clinical challenges hindering widespread adoption.
- Understanding the timeline for subjective well-being improvements is crucial for evaluating DHD's clinical benefits and trial duration.
Purpose of the Study:
- To determine the time required for patients to experience subjective well-being improvements during a trial of daily hemodialysis.
- To identify patient motivations, concerns, and factors influencing the decision to continue or discontinue DHD.
Main Methods:
- A prospective study involving 30 patients undergoing short daily dialysis (2-3 hours) across four centers.
- Data collection included semi-structured interviews assessing motivations, fears, and perceived well-being changes.
- Patients were followed from November 1998 to November 2000.
Main Results:
- 28 out of 30 patients reported improved well-being.
- Subjective improvement was perceived within 2 weeks by 22 patients and within 1 month by 28 patients.
- Logistic issues were the primary reason for 5 patients discontinuing DHD.
Conclusions:
- Most patients experience significant subjective benefits from daily hemodialysis within a short timeframe.
- A 2-4 week trial period is recommended to help patients and caregivers weigh benefits against challenges for DHD suitability.
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