How the Ontario Renal Network (ORN) has been trying to grow home dialysis

ORN started efforts to increase home dialysis use in Ontario in 2012, using a new funding formula based on modality, mandatory informatics, home dialysis coordinator and assisted PD funding, support for urgent start PD, targets for home dialysis rates, a network of clinics committed to home therapies, and frequent leadership meetings. Did they succeed?

Read the abstract » | (added 2021-05-14)

Tags: Home Dialysis, Home Haemodialysis, Peritoneal Dialysis, Hd, Pd

U.S. nephrology fellows’ perceptions of their home dialysis training

To grow home therapies, we must have clinicians who are trained in PD and home HD. A survey of 110 nephrology trainees suggests that we are not there yet. Of the 76 respondents, most were moderately confident about PD principles—but not urgent start PD or catheter insertion. Confidence around home HD was low.

Read the abstract » | (added 2021-05-14)

Tags: Home Dialysis, Hd, Home Hemodialysis, Hdd, Peritoneal Dialysis, Pd

Patients Who Want Autonomy More Likely to Choose PD

A national survey had 630 HD and PD patients respond to a survey about internal locus of control (ILOC) and an interest in treatment responsibility (ITR). The responding PD patients were younger and had significantly more desire both for control in general and interest in treatment responsibility in particular.

Read the abstract » | (added 2021-04-16)

Tags: Peritoneal Dialysis, Pd, Hemodialysis, Hd, Decision making

Home Dialysis Care Experience instrument

A new patient-reported experience measure for PD and home HD has been developed, based on a structured literature review, focus groups, interviews, and then cognitive testing. The 26-item measure covers 16 domains in six areas: communication and patient education, care team concern and helpfulness, care team proficiency, patient-centered care, care coordination, and personalized care.

Read the abstract » | (added 2021-04-16)

Tags: Hemodialysis, Hd, Peritoneal Dialysis, Pd