Experience and evidence: is there enough to support funding daily in-center dialysis?
The dialysis community has increasingly shown the health benefits of short daily hemodialysis (sDHD) at home. While this appears mainly suitable for younger and more independent patients, it seems likely that older and frailer patients would benefit from short daily dialysis as well. Humber River Regional Hospital has an in-center daily dialysis program in Canada, offering services to 31 patients. The experiences of patients, challenges for the health care team, and funding issues are discussed and point toward a promising future for in-center daily dialysis. However, a need for studies of greater quality and quantity is outlined as a major obstacle in gaining widespread support for in-center daily dialysis from the funders of dialysis care.
McMaster University, Hamilton, ON, Canada.
Adrianne C
AC
Lebner
Gihad E
GE
Nesrallah
David C
DC
Mendelssohn
D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D009864:Ontario; D019982:Organizational Case Studies; D010044:Outpatient Clinics, Hospital / Q000191:economics*; D006435:Renal Dialysis / Q000191:economics*