Home hemodialysis technique survival: insights and challenges

BMC Nephrology

Review

Estelle Tran¹  Emilie Trinh²  Oliver Karadjian²  Christopher T. Chan³ 

[1] Department of Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland;Division of Nephrology, Department of Medicine, McGill University Health Center, 1650 Av Cedar, L4-510, H3G 1A4, Montreal, QC, Canada;Division of Nephrology, University Health Network, Toronto, ON, Canada;

关键词: Home hemodialysis;    Technique failure;    Training failure;    Technique survival;    Discontinuation;   

DOI  :  10.1186/s12882-023-03264-5

 received in 2022-10-02, accepted in 2023-07-06,  发布年份 2023

来源: Springer

【 摘 要 】

Home hemodialysis (HHD) offers several clinical, quality of life and cost-saving benefits for patients with end-stage kidney disease. While uptake of this modality has increased in recent years, its prevalence remains low and high rates of discontinuation remain a challenge. This comprehensive narrative review aims to better understand what is currently known about technique survival in HHD patients, elucidate the clinical factors that contribute to attrition and expand on possible strategies to prevent discontinuation. With increasing efforts to encourage home modalities, it is imperative to better understand technique survival and find strategies to help maintain patients on the home therapy of their choosing. It is crucial to better target high-risk patients, examine ideal training practices and identify practices that are potentially modifiable to improve technique survival.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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Fig. 1