Staying home when peritoneal dialysis ends: the integrated home dialysis approach.
| Autor: | Pecce A; Department of Medicine, Université de Montréal., Belhumeur L; Department of Medicine, Université de Montréal., Nadeau-Fredette AC; Department of Medicine, Université de Montréal.; Research Center, Maisonneuve-Rosemont Hospital, Montreal, Quebec, Canada. |
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| Jazyk: | angličtina |
| Zdroj: | Current opinion in nephrology and hypertension [Curr Opin Nephrol Hypertens] 2025 Jan 01; Vol. 34 (1), pp. 104-111. Date of Electronic Publication: 2024 Nov 02. |
| DOI: | 10.1097/MNH.0000000000001034 |
| Abstrakt: | Purpose of Review: Home dialysis has been promoted for several years for patients starting dialysis. Although incident use of peritoneal dialysis (PD) and home hemodialysis (HHD) is increasing in several regions, patients on home dialysis remain at high risk of transfer to facility-hemodialysis (HD). The integrated home dialysis model, where patient start dialysis on PD and eventually transition to HHD when PD cannot be optimally continued has gain interest from dialysis stakeholders. Recent Findings: Transfers from PD to HHD are infrequently used among patients ending PD, representing between 2% and 6% of transfers to HD in registry studies. Nonetheless, this approach is associated with several clinical benefits as well as favorable cost-effectiveness. Summary: In this review, we will present data pertaining to home dialysis and the integrated home dialysis model, with broad discussion of the implementation challenges, including identifying patients who could most benefit from this approach, timely planning of the transitions and challenges relating to unexpected PD endings. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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