Introducing the international home dialysis consortium
File(s)
Published version
Author(s)
Type
Journal Article
Abstract
The use of home dialysis, peritoneal dialysis (PD) and home hemodialysis (HHD), remains low despite the well-known benefits to the person on dialysis in terms of lifestyle and treatment satisfaction, and to the health care system because of lower financial costs and lesser dependence on trained professionals.1 With projections of doubling of the population of people receiving dialysis from 2010 to 2030,2 health care systems delivering dialysis therapy have the responsibility to ensure cost-effectiveness. Resources are limited, including qualified staff and finances to cover treatment costs. Remote patient monitoring holds promise of high quality follow up and improved clinical outcomes for home dialysis patients.3 Furthermore, shared decision making enables patients to choose and therefore benefit from the dialysis modality most suitable for the individual to improve their quality of life. Furthermore, by avoiding multiple journeys to a dialysis center, home dialysis is less disruptive for the environment and for those living in remote geographic areas, prevents individuals from having to relocate from their communities to urban areas for dialysis treatment. In addition, PD avoids use of large quantities of water for each treatment, which is critically important in regions with water scarcity. During the height of the COVID-19 pandemic, when even “home dialysis sceptics” perceived the advantage of dialysis at home rather than in-center, an International Home Dialysis Roundtable was convened by industry leaders to consider practical steps for increasing access to home dialysis.4 Around the same time, Kidney Disease Improving Global Outcomes held a controversies conference on home dialysis, looking at multiple facets of improving the adoption and propagation of home dialysis globally.5 Building on this work, and in the light of the global importance and interests in home dialysis, the leadership of the International Society of Nephrology and the International Society for Peritoneal Dialysis have joined forces to form the International Home Dialysis Consortium. This consortium aims to bring regional stakeholder forces together to drive home dialysis uptake globally, in a scientifically advised, structured, and accountable manner.
Date Issued
2023-07
Date Acceptance
2023-04-24
Citation
Kidney International Reports, 2023, 8 (7), pp.1277-1280
ISSN
2468-0249
Publisher
Elsevier BV
Start Page
1277
End Page
1280
Journal / Book Title
Kidney International Reports
Volume
8
Issue
7
Copyright Statement
© 2023 International Society of Nephrology. Published by Elsevier Inc. This is an open
access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/
by-nc-nd/4.0/).
access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/
by-nc-nd/4.0/).
Identifier
http://dx.doi.org/10.1016/j.ekir.2023.04.019
Publication Status
Published
Date Publish Online
2023-05-02