Top in 2022 home dialysis: Failure of home hemodialysis correlates with mortality
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Patients who underwent home hemodialysis failure had a greater risk of mortality than those who continued home dialysis.
“We found that the risk of death is high after the transition, and it remains high after 3 months. We could not discern the cause of this association, but we suspect it is due to the events that caused patients to stop home hemodialysis,” David J. Semple, PhD, from the department of renal medicine of the Auckland District Health Board and a faculty member of medical and health sciences at the University of Auckland in New Zealand, and colleagues wrote. “The group of patients who stopped home hemodialysis only for a period of time did not have an elevated rate of death. We suspect this is because they did not transiently stop home hemodialysis due to serious illness.”
It was the top story in home dialysis in 2022.
Another top story reported on a presentation at ASN Kidney Week, in which data showed fellows should complete at least 10 home dialysis clinic trainings before providing peritoneal dialysis without supervision.
“We are not providing the fellowship training that we ought to provide,” Yuvaram N. Reddy, MBBS, MPH, FASN, of University of Pennsylvania Perelman School of Medicine, told Healio. “That is a gap to home dialysis use. We think that increasing the amount of training for fellows would be a great first step in building a pipeline of home dialysis leaders.”
Read these and more top stories in home dialysis below:
Home hemodialysis failure correlates with a significant increase in mortality
Compared with patients who continued home hemodialysis treatment, patients who experienced home hemodialysis failure correlated with a significant increase in mortality.
Minimum of 10 to 12 clinics needed for fellows to give home dialysis without supervision
ORLANDO — Attending at least 10 to 12 home dialysis clinics provides fellows with the needed training to provide home dialysis independently, according to results of a study of program directors and division chiefs presented, here. Read more.
Workshop establishes a core outcome measure for PD-related peritonitis
A workshop of health professionals, patients and caregivers recommended that a core outcome measure for peritoneal dialysis-related peritonitis should include symptom-based and laboratory-based criteria. Read more.
FMCNA announces FDA clearance for automated PD machine
Fresenius Medical Care North America announced the FDA has awarded 510(k) clearance to its VersiPD cycler. Read more.
Home dialysis improves quality of life prior to dialysis dependence, many do not choose it
ORLANDO — Patients with chronic kidney disease who choose home dialysis have improved health-related quality of life prior to dialysis dependence compared with patients on other modalities, according to a presenter at ASN Kidney Week. Read more.
Group asks CMS to allow manufacturers, non-nursing staff to provide home dialysis training
An advocacy group wants CMS to update regulations to allow dialysis machine manufacturers and non-nursing personnel to provide home dialysis training. Read more.