Journal Watch - HHD
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COVID Risk for In-center vs. Home Dialysis Patients
A study of 7,974 U.S. dialysis clinics reported on SARS-CoV-2 infections among 171,338 patients. To the surprise of no one, researchers found that the rate of COVID infection was 68% lower among patients who received their treatments in their own homes (2.85 infections per 1000 patient-weeks in-center vs. 1.69 infections per 1000 patient-weeks at home).
Read the abstract » | (added 2026-01-16)
Tags: SARS CoV 2, HHD
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Staying Infection-free with PD and Home HD
While home treatments tend to be better treatments, infection is still a risk—and prevention a necessity. Education and inclusion of infection-prevention in training are important, as are managing modifiable risk factors, such as constipation, gastric acid blockers, and hypokalemia in PD. For home HD, reducing CVC use and duration and using the rope ladder technique for cannulation can reduce risk.
Read the abstract » | (added 2024-11-21)
Tags: Infection prevention, Modifiable Risk Factors, PD, HHD, Central Venous Catheters, CVC
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Startling Proportion of Patients Chose PD or Home HD After a Dialysis Start Unit
The University Health Network of Toronto examined the uptake of home dialysis between 2013 and 2021 among patients who started in a “Dialysis Start Unit” (equivalent to a transitional care unit in the U.S.). Of 122 patients, 68 (55.7%) chose either PD (57; 46.7%) or home HD (11; 9%).
Read the abstract » | (added 2024-07-12)
Tags: Home Hemodialysis, HHD, Peritoneal Dialysis, PD, Dialysis Start Unit
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Outcomes with PD to HHD Compared to Direct HHD
Analysis of data from all patients who started PD or HHD in the first 90 days of kidney replacement therapy in Canada matched PD+HHD patients (n=163) 1:1 to incident HHD patients (n=711). Interestingly, while hospitalization risk was similar, clinical outcomes were better in the PD+HHD group.
Read the abstract » | (added 2023-09-13)
Tags: PD, HHD, Kidney Replacement Therapy, Clinical Outcomes
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PD and Home HD in the U.S. vs. Canada
PD and home HD offer well-documented advantages and lower total costs in high-income countries. Both have seen growth in the US during the last decade, driven by payment changes and COVID-19—but US numbers still lag behind Canada and other countries.
Read the abstract » | (added 2022-01-14)
Tags: Peritoneal Dialysis, PD, Home Haemodialysis, HHD
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Home HD Core Curriculum 2021
AJKD has released a new edition of this manual, which covers benefits, pitfalls and challenges of starting and growing a home HD program, home HD equipment, prescriptions, and medical management.
Read the abstract » | (added 2021-12-16)
Tags: Home Hemodialysis, HHD, Home HD Program, Patient Choice