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Hemodial Int. 2019 Sep 5. doi: 10.1111/hdi.12779. [Epub ahead of print]

Forty-five years on home hemodialysis, a case of exceptional longevity.

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Department of Internal Medicine, Division of Nephrology, University of Mississippi Medical Center, Jackson, Mississippi, USA.
Division of Nephrology, Central Arkansas Veterans Healthcare System, John L. McClellan Memorial Veterans Hospital.
University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA.
Department of Internal Medicine, Division of Nephrology, Medical University of South Carolina, Charleston, South Carolina, USA.
Ralph H. Johnson VA Medical Center, Charleston, South Carolina, USA.


End-stage renal disease is associated with dismal long-term survival in general. Home hemodialysis (HHD) has been advocated as a modality affirming better quality of life and longer survival. We report a 62-year-old Caucasian female with end-stage renal disease who has been exclusively on HHD for a total of 45 years, utilizing various platforms over the years. She has been one of the first home dialysis patients of the founding father of renal dialysis in the state of Mississippi, John D. Bower and cared by him throughout his career. Throughout this period, her life bore witness to the evolving technology of dialysis accesses, platforms, and evolution of HHD in its entirety. After review of the literature, we find that the longest vintage time on HHD documented to date was around 35 years. This extraordinary longevity bears testimony to the extraordinary self-motivation of the patient, the dedication of her providers and the true potential of HHD in motivated subjects.


Complications; hemodialysis; longevity; quality of life; survival; systemic sclerosis


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