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[Guy's Hospital home dialysis program (author's transl)]
MMW, Munchener Medizinische Wochenschrift
|December 23, 1977
Summary
Home dialysis, initiated in 1968, has treated 141 patients. While many adults returned to work, social and sexual restrictions persist, and future services may be reduced due to financial constraints.
Area of Science:
- Nephrology
- Renal Replacement Therapy
- Public Health
Context:
- Home dialysis was first performed in 1968.
- 141 patients have undergone home dialysis since its inception.
- Patient ages ranged from 4 to 64 years.
Purpose:
- To evaluate the outcomes and challenges of home dialysis.
- To assess patient rehabilitation and quality of life.
- To consider the future of home dialysis in light of National Health Service financial constraints.
Summary:
- 24 deaths occurred, attributed to various complications and patient/staff discipline issues.
- Of 60 adult patients, 52 returned to work, with 6 showing potential for full rehabilitation.
- Significant social and sexual activity restrictions impact patients' quality of life.
Impact:
- Home dialysis offers rehabilitation potential but faces challenges.
- Financial limitations may lead to reduced home dialysis and increased kidney transplantation.
- Further research is needed to optimize home dialysis protocols and patient support.