Home Dialysis in the News
Where in the world can you dialyze at night and not miss work?
How about Chennai, India? In-center nocturnal is a new option for NephroPlus clinics there. Eight hour treatments three times a week at night don’t intrude on the work schedule and allow people to feel better.
More people would dialyze at home if more clinicians recommended it
We know that 94% of U.S. nephrologists would choose a home treatment option if their own kidneys failed. Yet, an article in Modern Healthcare notes that nephrologists do not get enough training in home therapies. Despite reimbursement challenges and upfront training costs, however, home therapies continue to grow.
A whole new way to think about green dialysis
Home dialysis saves millions of kilometers of travel in BC and the Yukon. Seven million kilometers, to be precise. Just 1,000 Canadian patients doing home treatments saved that much time (20-35 years!) and gasoline. This is a whole new way to think about green dialysis.
PD Supply Shortage Story Makes a Major Newspaper
If you need to do a life-saving treatment and the supplies are back ordered, you would freak out, too… The NRAA and the Renal Physician’s Association both wrote to the FDA to ask them to allow imported PD solution into the US.
Things that people give up to do standard in-center HD
It’s great to see home therapies growing in Oklahoma! At the DaVita Tahlequah dialysis clinic, social worker Cary Odom has staff do a quality of life exercise to show them how much they would have to give up in their lives to do standard in-center HD—and how home treatment can give people back control of their lives.
Money talks. How does that affect home dialysis?
Better payment for home dialysis training and for PD under the bundle “made it more lucrative for clinics to suggest the in-home option to patients,“ doctors said, notes a new article about increased uptake of home dialysis in the US. Clinics are, of course, required to tell patients about all of their options and where to get them—regardless of how well each one pays.
Dr. Jeff Berns thinks the US could do a better job of modality education
So, 90% of U.S. patients end up doing a treatment for kidney failure (standard in-center HD), that 94% of nephrologists wouldn’t choose for themselves. Most new fellows don’t feel competent prescribing PD. Better physician training may be the key to changing the modality distribution.
Kidney community loses a PD champion
Dr. Karl Nolph, a pioneer in peritoneal dialysis, passed away in June, at age 77. Read the transcript of Dr. Dugan Maddux’s terrific interview with him on VoiceExpeditions.com.
What is “User-friendly” and gives patients more control?
Why, PD, of course! (But, you knew that, right?) Dr. Alfred Cheung, who was the program chair for the NKF Spring Clinical meeting in Las Vegas, says the NKF wants to “spark more enthusiasm” for the therapy. Changes to the bundle have made PD more appealing, and numbers are rising. Newer technology—and recognition of the downsides of doing HD just 3 days a week are driving an upsurge in home HD as well.
What helps nursing home patients live longer?
In a study of almost 4,000 nursing home residents followed for up to 6 years, those who were given short daily HD lived far longer (50 months) than who received standard in-center HD (30 months).