Outcomes among patients receiving in-center, self-care hemodialysis

Modalities of renal replacement therapy are categorized into incenter hemodialysis and home therapies. A subset of hemodialysis patients referred to as in-center self-care hemodialysis (ICSCHD) receive patient training as if they were going home but instead perform their dialysis in-center with mini...

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Bibliographic Details
Published in:Nephrology news & issues 2016-09, Vol.30 (10), p.28, 30
Main Authors: Jones, Edward R, James, LaRhonda, Rosen, Sophia, Mooney, Ann, Lacson, Jr, Eduardo
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Female
Hemodialysis, Home - methods
Hemodialysis, Home - psychology
Humans
Male
Middle Aged
Outpatient Clinics, Hospital - organization & administration
Patient Satisfaction - statistics & numerical data
Renal Insufficiency, Chronic - therapy
Self Care - methods
Self Care - psychology
Treatment Outcome
United States
Online Access:Get full text
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Summary:Modalities of renal replacement therapy are categorized into incenter hemodialysis and home therapies. A subset of hemodialysis patients referred to as in-center self-care hemodialysis (ICSCHD) receive patient training as if they were going home but instead perform their dialysis in-center with minimal staff support. Preliminary data suggests ICSCHD is associated with better outcomes than traditional in-center hemodialysis. We looked at ICSCHD patients initiating maintenance dialysis from April 1, 2011 to March 30, 2014 and compared them at a 1:2 ratio to propensity-score matched controls from surrounding facilities within the same catchment area. The median follow-up was 14 months. Patients on ICSCHD had lower mortality rate (0.02 vs 0.07 per patient year; p
ISSN:0896-1263