Journal Watch
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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
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Peritonitis with Manual vs. Device-connected PD
Japan, which uses device-connected PD, has one of the lowest PD peritonitis rates in the world. A retrospective review of 180 Japanese PD patients did not find significant differences between PD rates among those who made manual connections and those who used devices.
Read the abstract » | (added 2025-05-20)
Tags: Peritonitis, Device connected PD
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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
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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
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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
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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
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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
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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
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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
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Can PD Patients Safely Exercise?
A systematic review and meta-analysis founc nine randomized controlled trials of 398 patients, of whom 199 were randomized to a physical activity group. After 3-6 months of follow up, the exercise group had significant improvements in such diverse measures as social support, social interaction, pain, sitting and standing, and insulin-resistance. However, C-reactive protein levels increased significantly.
Read the abstract » | (added 2025-03-13)
Tags: Physical Activity, Exercise, C reactive Protein Levels