Choosing home hemodialysis: A critical review of patient outcomes
Blood Purification Feb 05, 2018
Miller BW, et al. - Given a very low prevalence of home hemodialysis (HHD) in the United States, and association of HHD with improved clinical outcomes vs. in-center HD (ICHD), researchers compared HHD and ICHD outcomes for survival, hospitalization, cardiovascular (CV), nutrition, and quality of life (QoL) via a critical review. HHD afforded improved clinical outcomes, including improved survival, CV, nutritional, and QoL parameters, as demonstrated in 66% of the publications reviewed (29/44). Although may not be preferred in all patients, HHD should be provided as a modality choice for substantially more than the current 1.8% of HHD patients in the United States, as suggested by a literature review.
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