Home hemodialysis

Home hemodialysis
NxStage System One cycler, being used for hemodialysis with bags of dialysate
SpecialtyNephrologist

Home hemodialysis (HHD) is the provision of hemodialysis to purify the blood of a person whose kidneys are not working normally, in their own home. One advantage to doing dialysis at home is that it can be done more frequently and slowly, which reduces the "washed out" feeling and other symptoms caused by rapid ultrafiltration, and it can often be done at night, while the person is sleeping.

People on home hemodialysis are followed by a nephrologist who writes the dialysis prescription and they rely on the support of a dialysis unit for back-up treatments and case management. Studies show that HHD improves patients' sense of well-being; the more they know about and control their own treatment the better they are likely to do on dialysis.[1]

HHD was introduced in the 1960s as a way to conserve scarce healthcare resources.[2]

  1. ^ National Kidney Foundation: A to Z Health Guide
  2. ^ Young, Bessie A.; Chan, Christopher; Blagg, Christopher; Lockridge, Robert; Golper, Thomas; Finkelstein, Fred; Shaffer, Rachel; Mehrotra, Rajnish; Group, on behalf of the ASN Dialysis Advisory (2012-12-01). "How to Overcome Barriers and Establish a Successful Home HD Program". Clinical Journal of the American Society of Nephrology. 7 (12): 2023–2032. doi:10.2215/CJN.07080712. ISSN 1555-9041. PMC 3513750. PMID 23037981.

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