Cross-Sectional Comparison of Quality of Life and Illness Intrusiveness in Patients Who Are Treated with Nocturnal Home Hemodialysis versus Peritoneal Dialysis

Fong, Edwin; Bargman, Joanne M.; Chan, Christopher T.

doi:10.2215/cjn.02260507

Cited by 54 publications

(50 citation statements)

References 36 publications

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“…Aside from the physical component of SF12 scores, the two groups of ESRD patients did not differ in their psychosocial attributes, anxiety, and mental quality of life scores. Previous studies have examined the impact of NHHD on quality of life and other psychosocial metrics, with heterogeneous results (22)(23)(24)(25)(26)(27)(28). Some studies endorsed enthusiastic improvements, whereas others such as Heidenheim et al, using SF-36 as an indicator, showed a deterioration in mental quality of life scores over time for NHHD patients.…”

Section: Discussionmentioning

confidence: 99%

Patient-Perceived Barriers to the Adoption of Nocturnal Home Hemodialysis

Cafazzo

Leonard

Easty

et al. 2009

Clinical Journal of the American Society of Nephrology

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119

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Background and objectives: Nocturnal home hemodialysis (NHHD) has been shown to improve clinical outcomes, although adoption has been limited. Given the known benefits, an understanding of the barriers to adoption is needed.Design, setting, participants, & measurements: Patient-perceived barriers were studied through a cross-sectional survey of prevalent hemodialysis patients using validated instruments, study-specific questions, and ethnographic interviews. Conclusions: Patient-perceived barriers are primarily fears of self-cannulation, a catastrophic event, and the burden on family. These findings should form the basis of screening patients for interest in NHHD and serve to mitigate these concerns.

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Section: Discussionmentioning

confidence: 99%

Patient-Perceived Barriers to the Adoption of Nocturnal Home Hemodialysis

Cafazzo

Leonard

Easty

et al. 2009

Clinical Journal of the American Society of Nephrology

Self Cite

119

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“…In this context, one study demonstrated no significant difference in HRQOL of patients treated with nocturnal HD or peritoneal dialysis (PD), both of which were performed at home (50). Nevertheless, the short-daily in-center FHN trial suggests that selected HRQOL measures, such as the physical health composite score of the Short-Form 36, improved significantly, even though objective measurements of exercise tolerance did not improve (51).…”

Section: Health-related Quality Of Life and Home Hdmentioning

confidence: 99%

How to Overcome Barriers and Establish a Successful Home HD Program

Young

Chan

Blagg

et al. 2012

Clinical Journal of the American Society of Nephrology

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Summary Home hemodialysis (HD) is an underused dialysis modality in the United States, even though it provides an efficient and probably cost-effective way to provide more frequent or longer dialysis. With the advent of newer home HD systems that are easier for patients to learn, use, and maintain, patient and provider interest in home HD is increasing. Although barriers for providers are similar to those for peritoneal dialysis, home HD requires more extensive patient training, nursing education, and infrastructure support in order to maintain a successful program. In addition, because many physicians and patients do not have experience with home HD, reluctance to start home HD programs is widespread. This in-depth review describes barriers to home HD, focusing on patients, individual physicians and practices, and dialysis facilities, and offers suggestions for how to overcome these barriers and establish a successful home HD program.

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“…A cross-sectional comparison of quality of life and illness intrusiveness in 36 patients being treated with nocturnal home hemodialysis (NHHD) versus 57 on PD revealed that quality of life was similar in both groups. 46 There was no difference between the NHHD and PD patients with respect to the Beck Depression Index. The illness intrusiveness score (including physical well-being and diet, work and fi nance, marital, sexual and family relations, recreation and social relations, and other aspects of life) was similar in both groups.…”

Section: Peritoneal Dialysis Versus Home Hemodialysismentioning

confidence: 83%

Home dialysis: A Dutch perspective

Boeschoten

Michels

2011

Dialysis & Transplantation

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For patients with end‐stage renal disease who are not (yet) eligible for renal transplantation, treatment with dialy‐sis is mandatory for survival. Home dialysis modalities (home hemodialysis or peritoneal dialysis) offer patients more ﬂexibility compared with in‐center treatment and have been advocated as the ﬁrst choice in clinically stable patients. However, despite encouraging developments in dialysis systems that make the procedure easier, in many countries the proportion of patients using home dialysis, especially peritoneal dialysis, is decreasing. In Europe this decrease is most pronounced in the Netherlands and the United Kingdom. This evolution cannot be motivated by an inferiority of home dialysis modalities compared with in‐center treatment, as all these modalities have been shown to generate similar results. Other, often non‐medical, factors (such as reimbursement, social and logistic issues, and the experience of physicians and nurses with home dialysis) seem to be responsible for this development.

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Cross-Sectional Comparison of Quality of Life and Illness Intrusiveness in Patients Who Are Treated with Nocturnal Home Hemodialysis versus Peritoneal Dialysis

Cited by 54 publications

References 36 publications

Patient-Perceived Barriers to the Adoption of Nocturnal Home Hemodialysis

Patient-Perceived Barriers to the Adoption of Nocturnal Home Hemodialysis

How to Overcome Barriers and Establish a Successful Home HD Program

Home dialysis: A Dutch perspective

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