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Review
. 2023 Jul 11;24(1):205.
doi: 10.1186/s12882-023-03264-5.

Home hemodialysis technique survival: insights and challenges

Estelle Tran  1 , Oliver Karadjian  2 , Christopher T Chan  3 , Emilie Trinh  4
Affiliations
Review

Home hemodialysis technique survival: insights and challenges

Estelle Tran et al. BMC Nephrol. .

Abstract

Home hemodialysis (HHD) offers several clinical, quality of life and cost-saving benefits for patients with end-stage kidney disease. While uptake of this modality has increased in recent years, its prevalence remains low and high rates of discontinuation remain a challenge. This comprehensive narrative review aims to better understand what is currently known about technique survival in HHD patients, elucidate the clinical factors that contribute to attrition and expand on possible strategies to prevent discontinuation. With increasing efforts to encourage home modalities, it is imperative to better understand technique survival and find strategies to help maintain patients on the home therapy of their choosing. It is crucial to better target high-risk patients, examine ideal training practices and identify practices that are potentially modifiable to improve technique survival.

Keywords: Discontinuation; Home hemodialysis; Technique failure; Technique survival; Training failure.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Risk Factors for HHD TF. HHD, home hemodialysis; TF, technique failure; DM, diabetes mellitus; CVD, cardiovascular disease; CVC, central venous catheter; AV, arteriovenous
Fig. 2
Fig. 2
Comparison between the main reasons for technique failure in HHD versus in PD. TF, technique failure; HHD, home hemodialysis; PD, peritoneal dialysis
See this image and copyright information in PMC

References

    1. Jacquet S, Trinh E. The Potential Burden of Home Dialysis on Patients and Caregivers: A Narrative Review. Can J Kidney Health Dis. 2019;6:2054358119893335. doi: 10.1177/2054358119893335. - DOI - PMC - PubMed
    1. Tennankore KK, Chan CT, Curran SP. Intensive home haemodialysis: benefits and barriers. Nat Rev Nephrol. 2012;8(9):515–522. doi: 10.1038/nrneph.2012.145. - DOI - PubMed
    1. Walker RC, Howard K, Morton RL. Home hemodialysis: a comprehensive review of patient-centered and economic considerations. Clinicoecon Outcomes Res. 2017;9:149–161. doi: 10.2147/CEOR.S69340. - DOI - PMC - PubMed
    1. Slon Roblero MF, Bajo Rubio MA, González-Moya M, Calviño Varela J, Pérez Alba A, Villaro Gumpert J, et al. Experience in Spain with the first patients in home hemodialysis treated with low-flow dialysate monitors. Nefrologia (Engl Ed). 2021;S0211-6995(21):00144–2. - PubMed
    1. Watanabe Y, Ohno Y, Inoue T, Takane H, Okada H, Suzuki H. Home hemodialysis and conventional in-center hemodialysis in Japan: a comparison of health-related quality of life. Hemodial Int. 2014;18(Suppl 1):S32–S38. doi: 10.1111/hdi.12221. - DOI - PubMed