Advancing Home Dialysis in Saudi Arabia: Challenges, Opportunities, and Future Directions

For individuals with end-stage renal disease, home dialysis offers a better clinical outcome, increased convenience, and an enhanced quality of life than in-center hemodialysis. It encompasses peritoneal dialysis and home hemodialysis, both of which allow patients to manage their treatment within their own homes, reducing dependency on hospital-based care. In Saudi Arabia, despite its recognized benefits, the adoption of home dialysis remains relatively low. Multiple factors, including infrastructure limitations, lack of awareness, and financial considerations, contribute to this challenge. This review explores the current landscape of home dialysis in Saudi Arabia, analyzing barriers to its widespread implementation, existing healthcare policies, technological advancements, and potential strategies to encourage broader adoption. By addressing key challenges such as patient education, provider training, and financial incentives, this review highlights actionable pathways for integrating home dialysis more effectively within the Saudi healthcare system. Enhancing home dialysis utilization could significantly improve healthcare outcomes and patient autonomy while reducing the burden on hospital resources. The review underscores the need for a collaborative approach among healthcare providers, policymakers, and stakeholders to ensure sustainable growth in home dialysis services in the Kingdom of Saudi Arabia.