Home dialysis: there's no place like home.

IF 2.2 3区医学 Q3 PERIPHERAL VASCULAR DISEASE Current Opinion in Nephrology and Hypertension Pub Date : 2025-03-01 Epub Date: 2024-12-13 DOI:10.1097/MNH.0000000000001056

Jeffrey D Wallach, Juan A Medaura, Leonard Stern

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Abstract

Purpose of review: The rapid rise in incidence and prevalence of end-stage kidney disease (ESKD) over the past 50 years was matched by a drop-off in use of home dialysis and a proliferation of in-center hemodialysis across the United States. There is renewed interest in improving access to home dialysis modalities for patients with ESKD. The aim of this review is to update kidney care providers with clinical outcome data and new guidelines that promote patient-centered choices, and to address barriers to home dialysis uptake and continued use.

Recent findings: Recent literature, including changing practice guidelines for prescribing home dialysis and examining the goals of treatment from the patient and caregiver perspectives will be reviewed. We will examine the impact of newer care models to promote home dialysis for incident ESKD patients. Assisted home dialysis, home dialysis in a nursing home and the impact of new payment models rewarding home dialysis providers will be examined.

Summary: This concise review of recent pertinent literature should give the dialysis provider confidence in advising their patients on the benefits of home dialysis, a glimpse into the future landscape for home dialysis, and hopefully transform kidney care providers into unbiased patient advocates.

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家庭透析：没有地方比得上家。

回顾的目的：在过去的50年里，终末期肾脏疾病（ESKD）的发病率和流行率迅速上升，与之相匹配的是全美家庭透析使用的下降和中心血液透析的激增。人们对改善ESKD患者获得家庭透析方式的途径重新产生了兴趣。本综述的目的是更新肾脏护理提供者的临床结果数据和新的指导方针，促进以患者为中心的选择，并解决家庭透析吸收和继续使用的障碍。最近的发现：最近的文献，包括改变家庭透析处方的实践指南和从患者和护理人员的角度检查治疗目标将被回顾。我们将研究新的护理模式对促进家庭透析对突发ESKD患者的影响。辅助家庭透析，家庭透析在养老院和新的支付模式的影响，奖励家庭透析提供者将进行检查。摘要：这篇对近期相关文献的简明综述应该会让透析提供者有信心向患者建议家庭透析的好处，一瞥家庭透析的未来前景，并有希望将肾脏护理提供者转变为公正的患者倡导者。

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来源期刊

Current Opinion in Nephrology and Hypertension 医学-泌尿学与肾脏学

CiteScore

5.70

自引率

6.20%

发文量

132

审稿时长

6-12 weeks

期刊介绍： A reader-friendly resource, Current Opinion in Nephrology and Hypertension provides an up-to-date account of the most important advances in the field of nephrology and hypertension. Each issue contains either two or three sections delivering a diverse and comprehensive coverage of all the key issues, including pathophysiology of hypertension, circulation and hemodynamics, and clinical nephrology. Current Opinion in Nephrology and Hypertension is an indispensable journal for the busy clinician, researcher or student.

期刊最新文献

Built environment and chronic kidney disease: current state and future directions. Dual organ transplantation: Pancreas and Liver in the kidney axis. Effect of the allelic background on the phenotype of primary hyperoxaluria type I. Home dialysis: there's no place like home. The kidney under heat stress: a vulnerable state.