Home haemodialysis in Australia - Is the wheel turning full circle?

John W M Agar, Carmel M. Hawley, Charles R P George, Timothy H. Mathew, Stephen McDonald, Peter G. Kerr

Research output: Contribution to journalReview articlepeer-review

26 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)403-406
Number of pages4
JournalMedical Journal of Australia
Volume192
Issue number7
DOIs
Publication statusPublished or Issued - 5 Apr 2010
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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