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Type: Journal article
Title: Home haemodialysis in Australia - is the wheel turning full circle?
Author: Agar, J.
Hawley, C.
George, C.
Mathew, T.
McDonald, S.
Kerr, P.
Citation: Medical Journal of Australia, 2010; 192(7):403-406
Publisher: Australasian Med Publ Co Ltd
Issue Date: 2010
ISSN: 0025-729X
Statement of
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.
Keywords: Humans
Hemodialysis, Home
Kidney Transplantation
Survival Rate
Cost-Benefit Analysis
Rights: ©The Medical Journal of Australia 2010
DOI: 10.5694/j.1326-5377.2010.tb03565.x
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