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|Title:||Home haemodialysis in Australia - is the wheel turning full circle?|
|Citation:||Medical Journal of Australia, 2010; 192(7):403-406|
|Publisher:||Australasian Med Publ Co Ltd|
|John W M Agar, Carmel M Hawley, Charles R P George, Timothy H Mathew, Stephen P McDonald and Peter G Kerr|
|Abstract:||In the mid 1970s, home haemodialysis accounted for nearly half of all patients on dialysis, both in Australia and elsewhere.• The advent of both peritoneal dialysis (itself a home therapy) and satellite haemodialysis resulted in a gradual attrition in the use of home haemodialysis. • Since 2000, the introduction of nocturnal home haemodialysis has begun to change this pattern in Australia, with a sharp growth in the uptake of home haemodialysis. • Home haemodialysis, which enables longer hours and more frequent treatments than facility-based (hospital or satellite centre) dialysis, appears to offer improved patient outcomes in observational studies; randomised studies are necessary to confirm these findings. • Home haemodialysis is also a cheaper form of therapy than facility-based dialysis. • As newer, simpler and more user-friendly equipment is emerging that will make home haemodialysis even more accessible and attractive to the consumer, we believe that this trend toward a greater uptake of home haemodialysis should and will continue.|
|Rights:||©The Medical Journal of Australia 2010|
|Appears in Collections:||Aurora harvest|
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