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Updated: Oct 23, 2025

04:36
Measurement of Tissue Oxygenation Using Near-Infrared Spectroscopy in Patients Undergoing Hemodialysis
Published on: October 2, 2020
2.4K
[Home hemodialysis]
Benno Kitsche1,2, Dieter Bach1
1Kuratorium für Dialyse und Nierentransplantation e. V., Köln/Neu-Isenburg, Deutschland.
Summary
Home hemodialysis (HHD) is underutilized in Germany due to declining education and services. Innovative wearable and implantable artificial kidneys promise improved patient mobility and reduced healthcare costs.
Area of Science:
- Nephrology
- Medical Technology
Context:
- Home hemodialysis (HHD) was crucial but is now neglected in Germany, with <0.8% of patients treated.
- Dialysis machine development prioritized center-based machines, limiting patient mobility.
- Lack of HHD education and services hinders its adoption.
Purpose:
- To highlight the decline of HHD in Germany.
- To discuss the potential of innovative artificial kidney technologies.
- To advocate for a transition in renal replacement therapy.
Summary:
- HHD knowledge and services have diminished in Germany, leading to low patient utilization.
- Current dialysis technology limits patient mobility and independence.
- New wearable and implantable artificial kidneys offer a promising alternative.
Impact:
- Innovative devices can enhance patient quality of life and independence.
- These advancements may alleviate issues like organ shortages and waiting list mortality.
- Reduced healthcare costs and resource consumption (water, electricity) are anticipated.
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