Dialysis Cost Containment, Inc., a member of the PRN family of companies, is offering a new option in dialysis care.
For many patients, home hemodialysis can be the beginning of getting their life back:
- Portable equipment so small you can take it on a plane
- Equipment that is simple to set up and use
- Significantly fewer dietary restrictions
- Patients are much more likely to keep their jobs
- Home hemodialysis is much more like what your kidneys were designed to work
- Daily hemodialysis results in less lab level fluctuation
Daily or nocturnal dialysis may increase life expectancy and likelihood to accept transplantation.
Low fixed rates – a fraction of the cost of in-center dialysis
- Simple, easy invoicing – no complicated requirements for participation
- Direct provider contracts in all cases
For more information and a review of the literature related to home hemodialysis click on the links below.
Clinical outcomes
- Dr. Michael Rocco presents the scientific rationale for the NIH More Frequent Hemodialysis study.
view in html | download
- The Medical Education Institute put together slides and a speaker's script to introduce home hemodialysis to social workers, with support from an unrestricted educational grant from Aksys, Ltd.
view in html | download
- See the history and growth of daily and nocturnal dialysis (in-center and at home) from 1998 to 2005 in Canada and the United States. Slides provided by Dr. Robert S. Lockridge, from his presentation at the Annual Dialysis Conference in Tampa, FL, February, 2005.
view in html | download
- Dialysis pioneer Dr. Zbylut Twardowski makes the case for longer, more frequent hemodialysis in this presentation delivered on September 19, 2004, at the NKF of Illinois' "Dialysis in the 21st Century" meeting in Chicago, IL.
view in html | download
- Dr. Robert S. Lockridge, Medical Director of Home Training at Lynchburg Dialysis, explains why more renal replacement therapy is needed to improve patient outcomes in this presentation delivered on September 19, 2004, at the NKF of Illinois' "Dialysis in the 21st Century" meeting in Chicago, IL.
view in html | download
- Watch this video about daily home hemo patient Bill Peckham, used with permission from, and provided by, Northwest Kidney Centers.
view video
- In 2001, Dr. Stanley Shaldon delivered a lecture outlining the accomplishments that led to the development of home dialysis. Now, as we embrace this technology as "new", it's interesting that it actually began in the 1960s! Here is the 7-part series of Quicktime lectures that capture the history of home dialysis.
view video
- Bibliography of literature on daily hemodialysis and selected home hemodialysis (included with permission of Dr. Carl Kjellstrand)
download
- Bibliography of literature on the clinical aspects of daily and nocturnal hemodialysis (abstracts provided when available)
download
- Read summaries of 25 landmark "Milestone" papers published by the American Society for Artificial Internal Organs (ASAIO) between 1955 and 2003.
view site
Patient self-management
Read the NKF's Family Focus issue on Home Dialysis, Spring, 2005
download Innovative papers
Nephrology is an evolving field—and we want to share some of its highlights with you. Every two weeks, our distinguished nephrologist consultants from around the globe choose an exemplary and influential article about dialysis, and a co-author of the paper writes a summary for Home Dialysis Central. A commentary on the merits of the article is made by one of our consultants.
- Agar JW, Mahadevan K, Knight R, Antonis ML, Somerville CA. 'Flexible' or 'lifestyle' dialysis: is this the way forward? Nephrology (Carlton) 2005;10,525-9.
Read | Download - Agar JWM, Somerville CA, Dwyer KD, Simmonds RE, Boddington JM, Waldron JM. Nocturnal hemodialysis in Australia. Hemodial Int 2003;7:278-89.
Read | Download - Ayus JC, Mizani MR, Achinger SG, Thadhani R, Go AS, Lee S. Effects of short daily versus conventional hemodialysis on left ventricular hypertrophy and inflammatory markers: a prospective, controlled study. J Am Soc Neph 2005;16:2778-88.
Read | Download - Blagg CR, Kjellstrand CM, Ting GO, Young BA. Comparison of survival between short-daily hemodialysis and conventional hemodialysis using the standardized mortality ratio. Hemodialysis International 2006;10:371-4.
Read | Download - Chan CT. Cardiovascular impact of nocturnal hemodialysis.
Read | Download - Charra B, Bergstrom J, Scribner BH. Blood pressure control in dialysis patients: the importance of the lag phenomenon. Am J Kidney Dis 1998;32:720-4.
Read | Download - Charra B, Calemard E, Ruffet M, Chazot C, Terra JC, Vanel T, Laurent G. Survival as an index of dialysis. Kidney Int 1992;41:1286-91.
Read | Download - Galland R, Traeger J. Short daily hemodialysis and nutritional status in patients with chronic renal failure. Semin Dial 2004;17:104-8.
Read | Download - Hauk M, Kuhlmann MK, Riegel W, Kohler H. In vivo effects of dialysate flow rate on Kt/V in maintenance hemodialysis patients. Am J Kidney Dis 2000;35:105-11.
Read | Download - Katzarski KS, Divino Filho JC, Bergstrom J. Extracellular volume changes and blood pressure levels in hemodialysis patients. Hemodial Int 2003;7:135-42.
Read | Download - Kjellstrand CM, Evans RL, Petersen RJ, Shideman JR, von Hartitzsch B, Buselmeier TJ. The "unphysiology" of dialysis: a major cause of dialysis side effects? Kidney Int 1975;Suppl 2:30-4.
Read | Download - Lopot F, Nejedl B, Sulková S. Physiology in daily hemodialysis in terms of the time average concentration/time average deviation concept. Hemodial Int 2004;8:39-44.
Read | Download - Misra M. The basics of hemodialysis equipment. Hemodial Int 2005;9:30-6.
Read | Download - Ouwendyk M, Leitch R, Freitas T. Daily hemodialysis: a nursing perspective. Adv Ren Replace Ther 2001;8(4):256-67.
Read | Download - Pierratos A. Daily (quotidian) nocturnal home hemodialysis: Nine years later. Hemodial Int 2004;8:45-50.
Read | Download - Popovich RP, Moncrief JW, Nolph KD, Ghods AJ, Twardowski ZJ, Pyle WK. Continuous ambulatory peritoneal dialysis (CAPD). Ann Intern Med 1978;88(4):449-56.
Read | Download - Scribner BH, Cole JJ, Ahmad S, Blagg CR. Why thrice weekly dialysis? Hemodial Int 2004;8:188-92.
Read | Download - Sherman RA, Cody RP, Rogers ME, Solanchick JC. The effect of dialyzer reuse on dialysis delivery. Am J Kidney Dis 1994;24:924-6.
Read | Download - Sherman RA, Torres F, Cody RP. Postprandial blood pressure changes during hemodialysis. Am J Kidney Dis 1988;12:37-9.
Read | Download - Shurraw S, Zimmerman D. Vascular access complications in daily hemodialysis: a systemic review of the literature. Minerva Urol Nefrol 2005;57(3):151-63.
Read | Download - Ting GO, Kjellstrand C, Freitas T, Carrie BJ, Zarghamee S. Long-term study of high-comorbidity ESRD patients converted from conventional to short daily hemodialysis. Am J Kidney Dis 2003;42:1020-35.
Read | Download - Toma S, Shinzato T, Fukui H, Nakai S, Miwa M, Takai I, Maeda K. A timesaving method to create a fixed puncture route for the buttonhole technique. Nephrol Dial Transplant 2003;18:2118-21. (Updated the latter part of 2005.)
Read | Download - Twardowski ZJ. Constant site (buttonhole) method of needle insertion for hemodialysis. Dial Transplant 1995;24:559-60, 576.
Read | Download - Twardowski ZJ. Effect of long-term increase in the frequency and/or prolongation of dialysis duration on certain clinical manifestations and results of laboratory investigations in patients with chronic renal failure. Hemodialysis International 2004;8:30-8. Published in the section: Historical Milestones in Daily Dialysis. Republished from Acta Med Pol 1975; 16:31-44.
Read | Download - Twardowski ZJ. Short, thrice-weekly hemodialysis is inadequate regardless of small molecule clearance. Int J Artif Organs 2004;27:452-66.
Read | Download - Read | Download
- Williams AW, Chebrolu SB, Ing TS, Ting G, Blagg, CR, Twardowski ZJ, Woredekal Y, Delano, B, Gandhi VC, Kjellstrand, CM, for the Daily Hemodialysis Study Group. Early clinical, quality-of-life, and biochemical changes of "daily hemodialysis" (6 dialyses per week). Am J Kidney Dis 2004;43:90-102.
Read | Download - Zimmerman DL, Swedko PJ, Posen GA, Burns KD. Daily hemofiltration with a simplified method of delivery. ASAIO J 2003;49:426-9.
Read | Download
These abstracts are only intended for the dissemination of scientific knowledge and for the intellectual exchanges of innovative ideas among healthcare workers. Although the innovative articles we select for inclusion in our Innovative Papers section have all appeared in prestigious publications, not all the avant-garde ideas conveyed in these articles have been accepted into standard medical practice. Patients should obtain advice related to their medical care from their own healthcare providers, and not from information provided by our Innovative Papers section. Clinicians must make informed decisions with regard to the care of their patients. Information obtained from Home Dialysis Central is for the purposes of general medical education only and should not be misconstrued as medical advice. Home Dialysis Central, Medical Education Institute, Inc., and the information contributors are not responsible for any possible injury sustained by patients who are treated by clinicians who mistakenly use information conveyed anywhere on this site for therapeutic purposes.
For additional information on home hemodialysis options,
visit the non-profit site of MEI.
|
 |
