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On-line hemodiafiltration at home.

Almudena Vega1, Soraya Abad1, Nicolás Macías1

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|October 4, 2017
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Summary

Online hemodiafiltration (OL-HDF) at home offers a safe and effective renal replacement therapy. This approach transfers the benefits of hospital-based convective therapy to the home environment for patients with chronic kidney disease.

Keywords:
Home hemodialysishemodialysishomeonline hemodiafiltration

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Area of Science:

  • Nephrology
  • Renal Replacement Therapy
  • Home Dialysis

Background:

  • Online hemodiafiltration (OL-HDF) is associated with improved survival compared to traditional hemodialysis.
  • Frequent hemodialysis enhances patient survival and quality of life.
  • Home hemodialysis offers a practical solution for delivering frequent dialysis therapy.

Observation:

  • This report details the experience of two patients with stage 5 chronic kidney disease (CKD) undergoing home hemodialysis with OL-HDF.
  • Patients received comprehensive training in managing dialysis monitors and water treatment systems.
  • The study utilized the "5008-home" monitor and Acqua C water treatment system, ensuring ultrapure water with consistent conductivity.

Findings:

  • Home hemodialysis with OL-HDF was successfully implemented in two stage 5 CKD patients.
  • The technique was demonstrated to be safe and effective for renal replacement therapy.
  • This represents the first reported instance of patients receiving OL-HDF in a home setting.

Implications:

  • Home OL-HDF successfully transfers the advantages of hospital-based convective therapy to the home environment.
  • This modality holds promise for improving the management of chronic kidney disease.
  • Further research and data collection are necessary to confirm long-term survival benefits.