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Review
. 2019 Nov 18;13(1):105-110.
doi: 10.1093/ckj/sfz140. eCollection 2020 Feb.

Integrated care: enhancing transition from renal replacement therapy options to home haemodialysis

Maria Fernanda Slon Roblero  1   2 , Natalie Borman  3 , Maria Auxiliadora Bajo Rubio  4   5
Affiliations
Review

Integrated care: enhancing transition from renal replacement therapy options to home haemodialysis

Maria Fernanda Slon Roblero et al. Clin Kidney J. .

Abstract

Transition is an intrinsic process in the life of a patient with kidney disease and should be planned and anticipated when possible. A single therapy option might not be adequate across a patient's entire lifespan and many patients will require a switch in their treatment modality to adapt the treatment to their clinical and psychosocial needs. There are several reasons behind changing a patient's treatment modality, and the consequences of each decision should be evaluated, considering both short- and long-term benefits and risks. Dialysis modality transition is not only to allow for technical optimization or improved patient survival, the patient's experience associated with the transition should also be taken into account. Transition should not be considered as treatment failure, but rather as an expected progression in the patient's treatment options.

Keywords: home haemodialysis; integrated home dialysis model; planned transition; renal replacement therapy; transition.

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Figures

FIGURE 1
FIGURE 1
Transition options to Home Hemodialysis. Patients in HHD come from all RRT alternatives. The ‘integrated home dialysis model’ involves the initiation of PD followed by transition to HHD at the time of PD completion; thus offering an alternative to patients so they can remain at home.
See this image and copyright information in PMC

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