Cost of Home HD vs. Standard In-center HD in Dollars and Lives in France

Among 42,605 patients on HD in France (28,317 prevalent and 14,288 incident), 265 incident (53 at home) and 765 prevalent (153 at home) patients were propensity score matched to examine costs of care. For both incident and prevalent patients, the global costs of daily home HD were lower than for in-center—and in-center was associated with a 7-fold higher risk of death than daily home HD.

Read the abstract » | (added 2025-05-20)

Tags: Propensity Score, Costs Of Care, Mortality

Promising Ways to Increase Use of Home Dialysis

A scoping review of 43 studies categorized interventions to increase home dialysis uptake into three categories: education, service provision, and payment modifications. What worked best? Education aimed to enhance dialysis options knowledge and promote shared decision-making among patients, families, and clinicians and providing services like assisted PD. Payment intervention effectiveness depended on context.

Read the abstract » | (added 2025-04-23)

Tags: Home Dialysis, Home Modality, Patient Education, Provision, Home Dialysis Uptake, Shared Decision making

Seniors, PD, and Inappropriate Prescriptions

No study has previously assessed what percent of people over age 65 on PD are receiving the correct doses of prescribed drugs. Unfortunately, this study finds that a large minority may not be.

Read the abstract » | (added 2025-04-23)

Tags: Seniors, PD, Inappropriate Prescriptions, Correct Dose

Guidelines Drive European Home Dialysis Practice

A consensus meeting held in Copenhagen, Denmark in 2023 investigated ways to improve home dialysis uptake, which was at a 10.5% prevalence and 13.3% incidence across Europe. Interestingly, national guidelines for advanced kidney care patient education drove uptake: home dialysis prevalence was significantly higher in countries with guidelines.

Read the abstract » | (added 2025-04-23)

Tags: National Guidelines, Advanced Kidney Care Patient Education, Home Dialysis Prevalence, Home Dialysis Uptake, Europe

Impact of Hurricane Helene on the PD Supply Chain

Hurricane damage to Baxter’s North Cove plant—which produces 60% of U.S. IV solutions—significantly disrupted patients’ ability to start or even continue PD. This analysis highlights healthcare vulnerabilities due to climate change.

Read the abstract » | (added 2025-04-23)

Tags: Hurricane, Emergency Planning, PD Supply

Home Dialysis + Person-centered Care

A scoping review identified 9,443 articles about the intersection of person-centered interventions (PCI) and home dialysis. The 16 that met the inclusion criteria included 13 PCIs; eight to involve patients in modality choice, six to involve them in their treatment, and one to involve patients in post-treatment-choice decisions. Five found a correlation between a PCI and the number of patients using home dialysis.

Read the abstract » | (added 2025-03-13)

Tags: Home Dialysis, Person centered Interventions, Modality Choice

The Impact of Rural Outreach in West Virginia on Home Dialysis

Of 22,408 WV patients who started dialysis between 1965 and 2020, 13% overall started with a home modality—but this figure was 18% in counties that had a rural outreach kidney care clinic.

Read the abstract » | (added 2025-03-13)

Tags: Dialysis, Home Modality, Rural Outreach

Home Dialysis in Finland

Prevalence of home dialysis has dropped in the past decade in Finland, despite its better survival compared to in-center HD. Semi-structured surveys for nephrologists, nephrology nurses, and patient associations endeavored to understand why. Nursing shortages and patient comorbidities received wide agreement as barriers, and clinicians believed that starting in-center reduces the odds of switching to home treatments later. For patients, financial burdens and impact on care partners were critical, as was “bringing hospitals home” or living in small spaces.

Read the abstract » | (added 2025-03-13)

Tags: Home Dialysis, Survival, Modality, Barriers

Uptake of Home Dialysis After Kidney Transplant Failure by Sex

An ANZDATA registry study analyzed dialysis after transplant failure of 3,521 patients from 2000 to 2020. While 38% of the patients were female, 12 months after transplant failure, 14% were using PD and 12% were using home HD. Males were 55% less likely to choose PD after transplant failure and 66% more likely to choose home HD. These disparities were greater in low SES regions.

Read the abstract » | (added 2025-03-13)

Tags: Gender, PD, Home HD, Transplant Failure

Predicting UF Failure in PD

A study in two Spanish hospitals tested a software approach to predicting PD UF failure in 183 PD patients. Using biomarkers and clinical data, the MAUXI program was able to predict UF failure and cardiovascular events.

Read the abstract » | (added 2025-03-13)

Tags: Software Predicting, PD UF Failure, MAUXI