title: Dialysis overnight: in-center nocturnal hemodialysis programs showing growth.
abstract: Toxin and fluid removal are the main goals of dialysis therapy for patients with end-stage renal disease. Recent data indicate that the BUN-centered delivery of dialysis therapy with high efficiency, conventional, thrice-weekly hemodialysis therapy may fall short on the likewise critically important fluid control. Extended hour, in-center nocturnal HD (INHD) emerges as one of the alternative therapies for patients whose clinical needs are not met with conventional HD or who are seeking a dialysis therapy less interfering with daytime activities. We report the logistic requirements for a nocturnal program evaluated in a pilot at a midsize non-profit dialysis provider. In-center nocturnal hemodialysis provides longer dialysis sessions similar to the thrice-weekly 8-10 hour dialysis treatments originally prescribed in the early days of dialysis. INHD allows for a more flexible lifestyle-oriented dialysis schedule and enables patients to maintain routine daytime activities. It also offers an alternative schedule for patients who require extended-hour dialysis for various medical reasons.
authors.affiliation: Satellite Healthcare.
authors.forename: Sheila
authors.initials: S
authors.lastname: Doss
authors.forename: Brigitte
authors.initials: B
authors.lastname: Schiller
mesh_terms: D000554:Ambulatory Care Facilities / Q000458:organization & administration*; D002140:California; D004864:Equipment and Supplies; D005240:Feasibility Studies; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D009551:Night Care / Q000458:organization & administration*; D010561:Personnel Staffing and Scheduling; D010865:Pilot Projects; D006435:Renal Dialysis / Q000379:methods*