Intensive Home Hemodialysis: An Eye at the Past Looking for the Hemodialysis of the Future.

Abstract:

:Multiple observational studies along with a limited number of randomized clinical trials suggest that intensive hemodialysis (IHD) not only improves outcomes for uremic patients undergoing chronic dialysis but does so with a more favorable cost/benefit ratio compared with conventional hemodialysis. As a result of this, there has been a rapid increase in the interest in home hemodialysis (HHD) as HHD represents the easiest means of implementing IHD. While HHD has generated increased interest given its association with better outcomes/reduced hospitalizations, there are very few randomized controlled trials comparing HHD with other hemodialysis methods. Reported HHD-associated increased survival benefits compared with in-center hemodialysis are from uncontrolled studies, which raise patient selection bias as underlying the differences found. Thus, while HHD draws increasing attention, studies that pay careful attention to the psychosocial, demographic, and clinical factors associated with patients selected to undergo HHD will be needed to ultimately demonstrate its benefits, clarify the clinical applications, and determine the limits of IHD use in dialysis patients.

journal_name

Artif Organs

journal_title

Artificial organs

authors

Naso A,Scaparrotta G,Naso E,Calò LA

doi

10.1111/aor.12458

subject

Has Abstract

pub_date

2015-09-01 00:00:00

pages

736-40

issue

9

eissn

0160-564X

issn

1525-1594

journal_volume

39

pub_type

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