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Published on: July 19, 2018
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Home dialysis therapies
1Imperial College Healthcare NHS Trust, London, UK richard.corbett@imperial.ac.uk.
Clinical Medicine (London, England)
|May 26, 2023
Summary
Home dialysis therapies like peritoneal dialysis (PD) and home hemodialysis significantly improve patient quality of life and autonomy. Advances in PD and new machines are boosting home dialysis options, addressing global variations in availability.
Area of Science:
- Nephrology
- Renal Replacement Therapy
- Patient-Centered Care
Background:
- Home dialysis therapies, including peritoneal dialysis (PD) and home hemodialysis, offer superior quality of life and autonomy compared to in-centre hemodialysis.
- Significant global disparities exist in the availability of PD and home hemodialysis.
- The UK has recommended a minimum 20% rate of home dialysis for prevalent patients.
Purpose of the Study:
- To review advances in home dialysis therapies.
- To highlight the benefits of home dialysis concerning patient quality of life and autonomy.
- To address the variation in home dialysis availability and its implications.
Main Methods:
- Review of recent advancements in peritoneal dialysis (PD) prescribing and assisted dialysis.
- Discussion of novel small dialysis machine developments for home hemodialysis.
- Analysis of peritonitis as a complication in PD and its management.
Main Results:
- Home dialysis therapies demonstrably enhance patient quality of life and autonomy.
- Key advancements in PD include improved prescription approaches and assisted dialysis options.
- New small dialysis machines are driving renewed interest in home hemodialysis.
Conclusions:
- Home dialysis represents a significant improvement over in-centre hemodialysis for patient well-being.
- Addressing unwarranted variation in home dialysis availability is crucial.
- Continued innovation in PD and home hemodialysis technology is expanding patient options.
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