Starting a home hemodialysis program

by John Moran, Michael Kraus
Seminars in Dialysis ()


Home hemodialysis is not a new therapy; rather it is a therapy in which interest has been rekindled due to both the continually growing end-stage renal disease population and concern about poor outcomes in patients on conventional thrice-weekly in-center dialysis. The practical issues to be considered when starting a home hemodialysis center are presented, including the choice of equipment, patient selection and training, home set-up, dialysis prescription, and patient follow-up. We outline the steps required to start a program that will be successful for patients, caretakers, and providers alike.

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