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Prescriptions for home hemodialysis
Author(s) -
Lockridge Robert,
Cornelis Tom,
Van Eps Carolyn
Publication year - 2015
Publication title -
hemodialysis international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.658
H-Index - 47
eISSN - 1542-4758
pISSN - 1492-7535
DOI - 10.1111/hdi.12279
Subject(s) - medical prescription , medicine , hemodialysis , dialysis , intensive care medicine , home hemodialysis , regimen , home dialysis , nursing
Prescribing a regimen that provides “optimal dialysis” to patients who wish to dialyze at home is of major importance, yet there is substantial variation in how home hemodialysis ( HD ) is prescribed. Geographic location, patient health status and clinical goals, and patient lifestyle and preferences all influence the selection of a prescription for a particular patient—there is no single prescription that provides optimal therapy for all patients, and careful weighing of potential benefit and burden is required for long‐term success. This article describes how home HD prescribing patterns have changed over time and provides examples of commonly used home HD prescriptions. In addition, associated clinical outcomes and adequacy parameters as well as criteria for identifying which patients may benefit most from these diverse prescriptions are also presented.