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Benefits, challenges, and opportunities using home hemodialysis with a focus on Mississippi, a rural southern state
Author(s) -
Salim Sohail Abdul,
Zsom Lajos,
Cheungpasitporn Wisit,
Fülöp Tibor
Publication year - 2018
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.12751
Subject(s) - medicine , home hemodialysis , hemodialysis , peritoneal dialysis , intensive care medicine , modalities , end stage renal disease , dialysis , quality of life (healthcare) , nursing , social science , sociology
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.