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Review
. 2012 Dec;7(12):2023-32.
doi: 10.2215/CJN.07080712. Epub 2012 Oct 4.

How to overcome barriers and establish a successful home HD program

Bessie A Young  1 , Christopher Chan, Christopher Blagg, Robert Lockridge, Thomas Golper, Fred Finkelstein, Rachel Shaffer, Rajnish Mehrotra; ASN Dialysis Advisory Group
Collaborators, Affiliations
Review

How to overcome barriers and establish a successful home HD program

Bessie A Young et al. Clin J Am Soc Nephrol. 2012 Dec.

Abstract

Home hemodialysis (HD) is an underused dialysis modality in the United States, even though it provides an efficient and probably cost-effective way to provide more frequent or longer dialysis. With the advent of newer home HD systems that are easier for patients to learn, use, and maintain, patient and provider interest in home HD is increasing. Although barriers for providers are similar to those for peritoneal dialysis, home HD requires more extensive patient training, nursing education, and infrastructure support in order to maintain a successful program. In addition, because many physicians and patients do not have experience with home HD, reluctance to start home HD programs is widespread. This in-depth review describes barriers to home HD, focusing on patients, individual physicians and practices, and dialysis facilities, and offers suggestions for how to overcome these barriers and establish a successful home HD program.

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Figures

Figure 1.
Figure 1.
Annual incident ESRD patients by modality from 1980 to 2009 from the U.S. Renal Data System. HD, hemodialysis; PD, peritoneal dialysis.
See this image and copyright information in PMC

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