Home Dialysis Central
...everything you need to know about doing dialysis at home.
Journal watch: HD
Switch from standard to nocturnal in-center HD reduces left ventricular mass
Among 37 people in the UK who switched from standard in-center HD to 3x/week nocturnal in-center HD, echocardiograms showed significant drops in left ventricular mass after 12 months. This is a good sign that their hearts are healthier and they may live longer.
Read more | (added Jan 26, 2012)
Pregnancy and HD: More is better (Review)
It is harder for women with ESRD to become pregnant and to carry healthy babies to term. Careful team follow up and more intensive dialysis have been shown to improve pregnancy outcomes. This article reviews fertility issues in young women with ESRD, pregnancy outcomes, and management suggestions.
Read more | (added Jan 26, 2012)
Green dialysis: using solar power for HD
Our own Dr. John Agar and other researchers from Australia report on their experience using the sun to power a dialysis clinic and reduce electricity costs by 76.5% In the second and third decades, the new system will pay for itself and contribute power to the grid.
Read more | (added Jan 26, 2012)
Arterial stiffness is equally high in PD and standard in-center HD
Arteries are supposed to be flexible. In a study of 35 people on PD and 26 doing standard HD, both groups had equally stiff arteries that were more rigid than those of the general public.
Read more | (added Jan 26, 2012)
International practice patterns for “non-conventional” HD
311 nephrologists from around the world took part in an online survey about use of HD options other than standard in-center. Among the respondents, 62.4% used "non-conventional" options: 26.7% used nocturnal HD, 34.4% used short daily HD, and 26% used long standard treatments.
Read more | (added Dec 22, 2011)
Home HD costs in Canada
Learn the costs of standard in-center HD vs. short daily and nocturnal in this new review article. (Home costs less!)
Read more | (added Dec 22, 2011)
Normalizing “unphysiology” with longer and/or more frequent HD
Studies of intensified HD regimens have found superior results to standard in-center HD, including better cardiac outcomes. This review article surveys the evidence that supports the hypothesis that more physiologic dialysis leads to better outcomes.
Read more | (added Dec 22, 2011)
Alternate night nocturnal HD in Australia
Every other night nocturnal HD is a popular option in Australia. Patients who use this option have lower phosphorus levels and better volume control and well-being—at about the same cost as standard in-center HD.
Read more | (added Dec 22, 2011)
More home HD in Australia and New Zealand—because doctors believe in it
In contrast to the rest of the world, Australia and New Zealand have an average of 12.9% of patients using home HD. Why? Because nephrologists, nurses, and funding agencies hold strong beliefs in the clinical and economic benefits of this option.
Read more | (added Dec 22, 2011)
Nocturnal HD protects arteries
In a year-long study, 60 people on standard in-center HD were compared to a similar group of 60 people on 8-hour nocturnal HD three nights per week. The nocturnal group needed fewer blood pressure medications and had lower serum phosphorus and calcium-phosphorus products. Their arteries were less stiff than those of people doing standard in-center HD.
Read more | (added Dec 22, 2011)
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