1. Benefits, challenges, and opportunities using home hemodialysis with a focus on Mississippi, a rural southern state.
- Author
-
Salim SA, Zsom L, Cheungpasitporn W, and Fülöp T
- Subjects
- Female, Hemodialysis, Home methods, Humans, Kidney Failure, Chronic diagnosis, Kidney Failure, Chronic epidemiology, Male, Mississippi, Patient Satisfaction statistics & numerical data, Peritoneal Dialysis standards, Peritoneal Dialysis trends, Quality of Life, Renal Dialysis standards, Renal Dialysis trends, Rural Health Services standards, Treatment Outcome, Hemodialysis, Home statistics & numerical data, Kidney Failure, Chronic therapy, Rural Health Services trends
- Abstract
The prevalence of end-stage renal disease continues to increase in the United States with commensurate need for renal replacement therapies. Hemodialysis continues to be the predominant modality, though less than 2% of these patients will receive hemodialysis in their own home. While home modalities utilizing peritoneal dialysis have been growing, home hemodialysis (HHD) remains underutilized despite studies showing regression in left ventricular mass, improved quality of life, reduced depressive symptoms, and decreased postdialysis recovery time. To increase penetration of HHD will require a proactive approach from both physicians and dialysis networks to address barriers both in the system and on the level of the patients and families. We are reviewing these issues with a focus on the state of Mississippi., (© 2018 Wiley Periodicals, Inc.)
- Published
- 2019
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