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A Systematic Approach To Promoting Home Hemodialysis during End Stage Kidney Disease
Robert Lockridge1,2, Eric Weinhandl3,4, Michael Kraus5
1Lynchburg Nephrology Physicians, PLLC, Lynchburg, Virginia.
Kidney360
|April 4, 2022
Summary
Home hemodialysis (HHD) offers customizable treatment intensity for end-stage kidney disease (ESKD) patients. Strategies like transitional care and trial runs can increase HHD adoption, improving patient health.
Area of Science:
- Nephrology
- Renal Replacement Therapy
- Dialysis Modalities
Background:
- Home dialysis, including home hemodialysis (HHD), is gaining traction.
- HHD offers customizable treatment intensity, addressing volume and pressure issues.
- Growing HHD utilization necessitates proactive patient introduction strategies.
Purpose of the Study:
- To outline strategies for introducing home hemodialysis (HHD) concepts and equipment.
- To facilitate increased adoption of HHD across diverse patient populations.
- To address barriers hindering HHD utilization.
Main Methods:
- Describing transitional care units for new dialysis patients.
- Implementing
- trial-run
- programs for prevalent hemodialysis patients.
- Encouraging home-to-home transitions from peritoneal dialysis to HHD.
Main Results:
- Strategies address barriers like equipment fear and self-cannulation anxiety.
- Transitional care and trial runs offer supportive settings for HHD familiarization.
- A systematic approach can increase HHD utilization in various patient phenotypes.
Conclusions:
- HHD's customizability is key to meeting home dialysis demand.
- Proactive introduction strategies can improve health outcomes for dialysis patients.
- HHD represents a significant, customizable home dialysis option.
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