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Semin Dial. 2019 Jan;32(1):80-84. doi: 10.1111/sdi.12751. Epub 2018 Oct 23.

Benefits, challenges, and opportunities using home hemodialysis with a focus on Mississippi, a rural southern state.

Author information

1
Department of Medicine, Division of Nephrology, University of Mississippi Medical Center, Jackson, Mississippi.
2
Central Nephrology Associates, Jackson, Mississippi.
3
Hemodialysis Unit Cegléd, Fresenius Medical Care Hungary, Cegléd, Hungary.
4
Department Medicine, Division of Nephrology, Medical University of South Carolina, Charleston, South Carolina.
5
Medical Services, Ralph H. Johnson VA Medical Center, Charleston, South Carolina.

Abstract

The prevalence of end-stage renal disease continues to increase in the United States with commensurate need for renal replacement therapies. Hemodialysis continues to be the predominant modality, though less than 2% of these patients will receive hemodialysis in their own home. While home modalities utilizing peritoneal dialysis have been growing, home hemodialysis (HHD) remains underutilized despite studies showing regression in left ventricular mass, improved quality of life, reduced depressive symptoms, and decreased postdialysis recovery time. To increase penetration of HHD will require a proactive approach from both physicians and dialysis networks to address barriers both in the system and on the level of the patients and families. We are reviewing these issues with a focus on the state of Mississippi.

KEYWORDS:

comparison; complications; hemodialysis; home; options; quality of life; survival

PMID:
30352485
DOI:
10.1111/sdi.12751

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