A Brief History of Home Hemodialysis

Blagg, Christopher

doi:10.1016/s1073-4449(96)80048-3

Cited by 52 publications

(56 citation statements)

References 16 publications

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“…HHD started in Japan in 1961 [1,2], and became available in Boston in 1963 [2] and 1 year later in London [2]. The first patient to start HHD in Switzerland did so in 1964.…”

Section: Introductionmentioning

confidence: 99%

“…Part of the decline in incidence numbers of HHD has been attributed to the rapid rise of peritoneal dialysis [2,6]. Interestingly, the use of peritoneal dialysis has also started to diminish in many Western countries.…”

Section: Introductionmentioning

confidence: 99%

“…The end-stage renal disease (ESRD) population became older with a higher fraction of diabetic and polymorbid, disabled patients. In addition, more for-profit units were established, which traditionally do not encourage HHD [2]. In Switzerland, a further obstacle is the difficulty to recruit relatives willing to assist HHD patients.…”

Section: Introductionmentioning

confidence: 99%

“…Besides transplantation, HHD has been reported to provide the best quality of life, most independence and the best working rehabilitation for ESRD patients [2]. Apart from the above-noted medical and social benefits, HHD offers a great economic advantage: in Switzerland the annual cost of HHD is estimated as sFr 54 000 compared with sFr 78 000 for CHD.…”

Section: Introductionmentioning

confidence: 99%

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Outcome of home haemodialysis patients: a case-cohort study

Saner¹,

Nitsch²,

Descoeudres³

et al. 2005

Nephrology Dialysis Transplantation

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Background. Randomized, controlled comparisons between home haemodialysis (HHD) and centre haemodialysis (CHD) have not been performed to date. Reported survival benefits of HHD as compared with CHD from uncontrolled studies have been attributed largely to patient selection. Methods. In order to minimize a selection bias, we have compared the outcome of our HHD and CHD patients with a nested case-cohort study. For each patient trained for HHD at our dialysis centre between 1970 and 1995 (n ¼ 103), a corresponding match was searched from the CHD patients by retrospective chart analysis. The pairs were matched for sex, age (±5 years), time of dialysis therapy onset (±2 years) and renal disease category. For 58 of the 103 HHD patients, a corresponding matched CHD patient was identified. Both treatment groups had the same mean age (50±13 years) at dialysis onset and were comparable with respect to the Khan comorbidity index, prevalence and duration of hypertension, smoking habits, history of myocardial infarction, stroke and peripheral vascular disease. In both groups, 50% of the patients were transplanted during the observation period. Results. HHD patients were hospitalized less often and tended to have fewer operations as compared with CHD patients. Survival was significantly longer in HHD as compared with CHD. Five, 10 and 20 year survival rates were 93 (n ¼ 55 patients at risk), 72 (41) and 34% (11) with HHD and 64 (38), 48 (26) and 23% (4) with CHD, respectively. This survival difference persisted after adjusting for predictors of mortality, i.e. age at onset of dialysis, year of start of dialysis therapy and Khan comorbidity index. Conclusions. HHD offers a cheap and valuable alternative to CHD, with no apparent disadvantages.

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“…HHD started in Japan in 1961 [1,2], and became available in Boston in 1963 [2] and 1 year later in London [2]. The first patient to start HHD in Switzerland did so in 1964.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Outcome of home haemodialysis patients: a case-cohort study

Saner¹,

Nitsch²,

Descoeudres³

et al. 2005

Nephrology Dialysis Transplantation

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“…Scribner and Babb. 3 As the evolution of renal replacement technology and practice pattern continues, the niche for home HD will likely become more dominant. Today, patients are more informed about their health and…”

mentioning

confidence: 99%

The Global Forum for Home Hemodialysis: a new open‐source practical manual

Marshall

Chan

2015

Hemodialysis International

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Encouraging clinical outcomes from observational and randomized controlled data in the forms of frequent hemodialysis (HD) has renewed interest in home HD. However, given its benefits, home HD is relatively underutilized throughout the world. The Global Forum for Home Hemodialysis, an independent panel comprised of internationally recognized nephrologists, home HD nurses, administrators, patient advocates, and a long-time home HD patient, has convened with the intention of creating an open-source, comprehensive, practical manual that provides useful information to clinicians who are interested in implementing home HD.

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Home hemodialysis

Lindsay¹,

Leitch²

2004

Replacement of Renal Function by Dialysis

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A Brief History of Home Hemodialysis

Cited by 52 publications

References 16 publications

Outcome of home haemodialysis patients: a case-cohort study

Outcome of home haemodialysis patients: a case-cohort study

The Global Forum for Home Hemodialysis: a new open‐source practical manual

Home hemodialysis

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