Promising Ways to Increase Use of Home Dialysis

A scoping review of 43 studies categorized interventions to increase home dialysis uptake into three categories: education, service provision, and payment modifications. What worked best? Education aimed to enhance dialysis options knowledge and promote shared decision-making among patients, families, and clinicians and providing services like assisted PD. Payment intervention effectiveness depended on context.

Read the abstract » | (added 2025-04-23)

Tags: Home Dialysis, Home Modality, Patient Education, Provision, Home Dialysis Uptake, Shared Decision making

Home Sweet Home Dialysis

Home Sweet Home (HSH) is a new Canadian program where current home dialysis patients share their lived experiences with prospective patients in a home-like setting. Of 291 participants between 2015 and 2019, 92% were interested in a home modality, noting that they valued patients’ real-life perspective and felt less anxious. At follow-up, 25% were doing home dialysis, 24% had a transplant, and the remaining survivors were dialyzing in-center.

Read the abstract » | (added 2025-02-14)

Tags: Home Dialysis, Home Modality, Patient Education

Nephrologist Attitudes Toward Home Therapies Drive Practice

A survey of 327 nephrologists assessed their knowledge, attitudes, and practice around the choices for renal replacement therapy. Attitudes toward PD, HD, and transplant were independently linked to participants’ consideration of these options for patients.

Read the abstract » | (added 2023-04-19)

Tags: Nephrologists Modality Knowledge, Modality Bias, Choices For Renal Replacement Therapy, Modality Choice, Patient Education, Shared Decision making