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Delivering Home Hemodialysis: Is There Still a Role for Real‐Time Treatment Monitoring?
Author(s) -
Marshall Mark R.,
Pierratos Andreas,
Pauly Robert P.
Publication year - 2014
Publication title -
seminars in dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 78
eISSN - 1525-139X
pISSN - 0894-0959
DOI - 10.1111/sdi.12327
Subject(s) - medicine , hemodialysis , intensive care medicine , adverse effect , home hemodialysis , medical emergency , surgery
Remote real‐time treatment monitoring for home hemodialysis ( HHD ) was driven by concerns over patient safety in the early era of HHD . However, decades of clinical experience supported by objective data suggest that HHD is very safe and that remote monitoring is unlikely to avert serious adverse events. As a result, such remote monitoring is not routinely offered in the current era and is generally considered an unnecessary expense. However, a one‐size‐fits‐all approach to abandon remote monitoring may overlook potential opportunities: to improve the clinical care of patients dialyzing at home; and to give patients the confidence to perform HHD in an unsupervised setting.