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...everything you need to know about doing dialysis at home.
In the U.S., home dialysis (PD or home hemo) training is set up through a dialysis center. The center will train you and a partner. You don’t have to buy the machine yourself—you just have to find a center that will support you.
Once you choose a center, you have two options for your equipment, supplies and staff support. The center can provide these for you (Method I), or you can get staff support from the center and your equipment and supplies from a supply company (Method II). Most people use Method I.
When you have to go to a center three times a week, having it close to your home can help reduce your travel time. But when you do treatments at home, after you finish training you only need to go to the center once a month for clinic visits. (You will also have to arrange to get IV iron, if you need it.) So, a home center can be as far away as you are willing to drive once a month.
This is a key point, because home hemo is only offered by about one of every 12 centers in the U.S. (PD is offered by about one of every 3 centers). So, if you insist that a center be around the corner or even in your town, you may not be able to get the treatment you want.
To help people locate a home dialysis center, Home Dialysis Central staff built a find-a-center database of every center in the United States that offers home training. You can use this list in two ways:
If you don’t get results—or if your city is not listed—re-do your search by state only. Leave the city blank and see what comes up. You may need to look on Mapquest or Google Maps for driving directions to see which centers are closest to you.
Besides the “Find a Center” database, we also created coverage maps for Home Dialysis Central. You may find these maps helpful if you live near a state border. In some cases, the closest home program to you may be in the next state—and the maps can give you ideas for where to look.
There are separate maps for PD, conventional home hemo, daily home hemo, nocturnal home hemo, and all home hemo. Each dot on the map stands for a 120-mile radius around a program site—about a 2-hour drive. Below are the maps (you can see them larger or download them here.
|PD coverage||Conventional home hemo coverage|
|Nocturnal home hemo coverage||Daily home hemo coverage|
As you can see from the coverage maps, some parts of the U.S.— especially the East coast—are very well-supplied with home centers of all types. Other parts, like the West, are not. If you live in a region with poor coverage, you may need to get creative.
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