Journal Watch - Home Hemodialysis

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  • Home HD Respite Care Resource Implications

    A Canadian analysis of 119 home HD patients found that 66% required 292 back-up, in-center HD sessions during 96 patient years; 53% for vascular access issues.

    Read the abstract » | (added 2020-08-11)

    Tags: Home Hemodialysis, Resource Utilization, Technique Survival

  • How Much Dialysate Should be Used for Nocturnal HD With NxStage?

    Predictive modeling finds that the dialysate lactate concentration used for short daily HD may not be appropriate for nocturnal HD. Since the effect of lactate mainly depends on weekly dialysate volume, reducing from 60 to 30 liters for frequent nocturnal HD may be appropriate.

    Read the abstract » | (added 2020-08-11)

    Tags: Home Hemodialysis, Lactate, Acid Generation, Dialysate

  • Quanta SC+ Fluid Removal Accuracy

    Through both passive and active fluid control mechanisms, the Quanta SC+ home HD machine was accurate to within 1 mL per hour for flow balance and to within 13 mL/hr for ultrafiltration.

    Read the abstract » | (added 2020-08-11)

    Tags: Home Hemodialysis, Fluid Management, Flow Balance

  • Tablo HD Machine Safe and Effective at Home and In-center

    Safety and efficacy human trials of the easy-to-use Tablo were conducted with 28 participants who received 4 treatments per week in-center and then at home for a total of 21 weeks. Home adherence (99%) was slightly better than in-center (96%), with average prescribed—and delivered—treatments of 3.4 hours, and an average weekly standard Kt/Vurea of 2.8 in both settings. Adverse events were not related to the Tablo, and alarm resolution time was 8 seconds in-center and 5 seconds at home.

    Read the abstract » | (added 2019-11-16)

    Tags: Tablo, Home Hemodialysis, Hemodialysis System

  • A Patient on Home HD for 45 Years

    A 62-year old Mississippi woman, one of the first home HD patients of Dr. John D. Bower, is reported to have been on home HD for 45 years now, a record.

    Read the abstract » | (added 2019-09-11)

    Tags: Home Hemodialysis, Quality Of Life, Long term Survival

  • Home HD - Significantly Better Survival and Transplant Rate

    A Swedish matched cohort study compared the long-term survival of 152 home HD patients with those doing PD (n=456) or standard in-center HD (n=608). Median survival for home HD was significantly better (18.5 years) than PD (15.0) and in-center HD (11.9). Home HD patients were also significantly more likely to have received a transplant.

    Read the abstract » | (added 2019-03-12)

    Tags: Survival, Home Hemodialysis, Institutional Hemodialysis, Peritoneal Dialysis

  • What Makes Home HD Patients Reach for On-Call Support?

    A 4-month prospective observational study analyzed the reasons why 58 home HD patients called the on-call nurse or technician. Most calls to nurses were made for clinical issues or machine set-up or alarm questions, some of which required a technician. Most of the technician calls were for machine malfunction, set-up and alarms, or water treatment. Read the abstract.

    Read the abstract » | (added 2018-10-12)

    Tags: Home Hemodialysis, Independent Hemodialysis, Nocturnal Hemodialysis, Short Daily Hemodialysis

  • Blood Flow Rates and Clinically Meaningful Solute Removal

    A prospective study of 17 patients looked at BFRs of 300, 350, and 450 and Kt/V urea, beta-2 microglobulin, and phosphorus when low dialysate flow rates were used. While Kt/V did increase, the impact on B2M and phosphorus were minimal.

    Read the abstract » | (added 2018-08-13)

    Tags: Daily Hemodialysis, Home Hemodialysis, Kt/V, Blood Flow