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Home-Based Dialysis: A Primer for the Internist.
Robert Rope1, Eric Ryan1, Eric D Weinhandl2,3
1Division of Nephrology and Hypertension, Oregon Health & Science University, Portland, Oregon, USA;
Annual Review of Medicine
|December 1, 2023
Summary
Home dialysis, including peritoneal dialysis and home hemodialysis, is increasingly used. Clinicians must understand these modalities for effective end-stage kidney disease patient care.
Area of Science:
- Nephrology
- Renal Replacement Therapy
Background:
- Home-based dialysis modalities, such as peritoneal dialysis and home hemodialysis, offer significant clinical and practical benefits to patients with end-stage kidney disease.
- There has been a notable resurgence in the utilization of these home dialysis methods over the last ten years, reversing a prior trend of decline.
Purpose of the Study:
- To underscore the growing importance of home dialysis modalities.
- To emphasize the necessity for clinicians to be well-versed in the procedures and critical care aspects of peritoneal dialysis and home hemodialysis for end-stage kidney disease patients.
Main Methods:
- Review of current trends in home dialysis utilization.
- Synthesis of clinical management principles for peritoneal dialysis and home hemodialysis.
Main Results:
- Home dialysis modalities are experiencing increased adoption.
- Clinicians require updated knowledge on performing and managing these therapies.
Conclusions:
- The rising frequency of home dialysis necessitates comprehensive clinician education.
- Familiarity with peritoneal dialysis and home hemodialysis is crucial for optimal end-stage kidney disease management.
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