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

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

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

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

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