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https://hdl.handle.net/2440/65298
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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 1326-5377 |
Statement of Responsibility: | 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 Australia |
Rights: | ©The Medical Journal of Australia 2010 |
DOI: | 10.5694/j.1326-5377.2010.tb03565.x |
Published version: | http://www.mja.com.au/public/issues/192_07_050410/aga11491_fm.html |
Appears in Collections: | Aurora harvest Surgery publications |
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