In an era when just about every medical treatment that can be done at home is moving in that direction, only about 12% of patients receiving kidney dialysis do so at home, despite it being cheaper and research showing it's just as safe.
There are a host of reasons why. Most people cite physicians' lack of training on home dialysis and their resulting reluctance to suggest it. Sometimes patients themselves are too sick or overwhelmed to take on that task.
But experts in the field say there's another major factor at play: money.
Simergent, founded in 2014 by Steve Lindo and Rick Pendergraft, is developing a home dialysis machine to deliver safe and effective automated peritoneal dialysis therapy to end stage renal disease patients. Though the product is still in the development phase, the founders say their device will be cheaper than other market-leading home dialysis machines and simpler to use.
Project will bring a key component of the implantable artificial kidney sooner to patients.
Kidney dialysis is no fun. For most patients, it means sitting in a hospital or clinic hooked up to a machine for three to five hours, three days a week. The schedule is usually fixed, the rooms are typically dreary and many patients leave feeling washed out.
It doesn't have to be that way.
Kidney failure and its treatment dialysis is overwhelming the medical systems of many countries. Could home hemodialysis be the answer? Besides that, people may actually live longer and healthier lives!
Some experts say more end-stage renal disease patients would be served by home dialysis if more clinicians recommended it. Though the number of patients using peritoneal dialysis has increased by about 40% over the past five years, a 2011 study published in the American Journal of Kidney Diseases found that up to half of dialysis patients choose home treatment.
Home dialysis therapies may help prolong the lives of patients with kidney failure compared with hemodialysis treatments administered in medical centers, experts report. Home dialysis therapies are more convenient and less expensive than in-center treatment, but it has been unclear whether all home therapies -- which include peritoneal dialysis and home hemodialysis -- can prolong patients' survival.
Internationally, the number of patients requiring treatment for end-stage kidney disease (ESKD) continues to increase, placing substantial burden on health systems and patients. Home hemodialysis (HD) has fluctuated in its popularity, and the rates of home HD vary considerably between and within countries although there is evidence suggesting a number of clinical, survival, economic, and quality of life.
Proponents of home care say more frequent dialysis can improve patient outcomes by avoiding the so-called “killer gap” – a two-day wait between clinic sessions associated with increased hospitalization and death. Hospitalization accounts for about 40 percent of Medicare spending on dialysis patients.
Home Dialysis Central http://www.homedialysis.org/ Medicare pays for most dialysis in the US. And, Medicare rules (since 2008!) require clinics to tell you about ALL of your treatment options—and where to get them. But, sadly, we still hear from people who were not told. And, some dialysis staff don't know themselves. To have the best life you can on dialysis, choose a treatment that will fit your life. And, to do that, you need information. That's why we're here. Home Dialysis Central is a one-stop shop. Learn about ALL types of dialysis and what they can mean for your life.
By having control over when and where they dialyze – at home or even on the road – dialyzors may find that what was once impossible due to long drives for in-center treatment, exhaustion, and other factors, is now a possibility. The chance to resume a normal work schedule. To travel. Or to simply take your life back and feel more like yourself again.
In order to perform HHD, you’ll need to be trained by a home dialysis training nurse. Training typically takes four to eight weeks to complete. You’ll learn how to operate the equipment, handle supplies, insert needles, record medical information and disconnect from the machine.
Home hemodialysis is similar to in-center hemodialysis, but it can be done in the comfort of the your own home. This can mean greater independence and flexibility in your dialysis treatment schedule. Even though you are performing treatment at home, you are always supported by a dialysis healthcare team that includes your nephrologist, nurse, dietitian, and social worker.
New, easy-to-use machines are being developed for home hemodialysis. These are easier to set up, clean and disinfect. With some newer machines you have fewer supplies to store. If you think home hemodialysis is a good choice for you, ask your doctor about the best equipment for you.