Daily Home Hemodialysis Is an Available Option for Renal Replacement Therapy in Spain

• Published in: Therapeutic apheresis and dialysis 2016-08, Vol.20 (4), p.408-412
• Main Authors: Vega, Almudena, Sequí, María José, Abad, Soraya, Yuste, Claudia, Santos, Alba, Macías, Nicolás, López-Gómez, Juan M.
• Format: Article
• Language: English
• Subjects: Adult; Aged; Benefits; Daily home hemodialysis; Female; Follow-Up Studies; Hemodialysis, Home - methods; Hemodialysis, Home - statistics & numerical data; Humans; Kidney Failure, Chronic - therapy; Kidney Transplantation - statistics & numerical data; Male; Middle Aged; Renal replacement therapy; Spain; Survival; Survival Analysis; Young Adult
• ISSN: 1744-9979; 1744-9987
• DOI: 10.1111/1744-9987.12400

The objective of the present study was to analyze the characteristics and survival of patients from our hospital who started home hemodialysis. We analyzed all patients receiving home hemodialysis from 1969 to 2015 (51 patients; age 45 ± 23 years; men 77%). We collected characteristics, hospital admission, and mortality. After a median follow‐up of 43 (22–76) months, we found 0–1 hospital admissions per year. Sixty‐nine percent received a kidney transplant, and the global mortality was 10%. Survival at 5 years was 96%. Mean equivalent renal urea clearance was 15.6 ± 4.2 mL/min, the β‐2 microglobulin reduction rate was 67 ± 18%, the number of antihypertension drugs was 0.7 ± 0.3, and the erythropoietin resistance index was 3.7 ± 2.1 IU/kg/week/g/dL. Daily home hemodialysis is a viable option for renal replacement therapy and should be offered alongside other therapies.