The Japanese Journal of Clinical Dialysis Vol.35 No.10(9)

Theme Reconsideration of standard hemodialysis: What is the optimal prescription and management for each patient?
Title Withdrawal from home hemodialysis
Publish Date 2019/09
Author Masaki Kumagai Department of Clinical Engineering, Sakai Rumi Clinic
[ Summary ] Home hemodialysis (HHD) is not yet widely accepted in the society, primarily because HHD is considered risky. It is necessary to determine the factors associated with discontinuation of HHD and to attempt to eliminate or minimize factors that may interfere with the development and widespread acceptance of HHD in the future. The reasons for HHD-specific withdrawal are shunt infections and caregiver. We observed at our hospital that HHD discontinuation did not occur secondary to the patient's ability to respond or because of aging. Therefore, establishing uniform withdrawal criteria such as age would be inappropriate, and it is important to determine whether those who choose to withdraw can in fact continue HHD. Additionally, an assistant is required to perform HHD along with the patient. Thus, reducing the burden on caregivers could be an important factor that could favor continuation of HHD.
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