Mactier, Robert

Mitra, Sandip

Home haemodialysis (HD) was first available to patients with ESRD in the 1960s and quickly became the most common dialysis modality. Patients on home HD are responsible for their own treatment and to some extent their own health. It avoids travelling time to dialysis units (a generally unsatisfactory experience) and requires less support from specialist nursing staff. Observational data suggest that patient survival is superior on home HD compared to facility-based HD (1-3) and technique survival with home HD is higher than peritoneal dialysis (PD) (4), even after adjustments for patient selection and case-mix. The explanation for this improvement in outcomes is thought to be related to benefits derived from greater patient involvement in their healthcare, better adherence to their diet and fluid balance and superior solute clearances achieved through better dialysis schedules. However, home HD is a less expensive option than facility-based HD (5,6)

Renal Association Working Party on Home Haemodialysis.-Guideline

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