title: Daily Home Hemodialysis Is an Available Option for Renal Replacement Therapy in Spain.
abstract: The objective of the present study was to analyze the characteristics and survival of patients from our hospital who started home hemodialysis. We analyzed all patients receiving home hemodialysis from 1969 to 2015 (51 patients; age 45 ± 23 years; men 77%). We collected characteristics, hospital admission, and mortality. After a median follow-up of 43 (22-76) months, we found 0-1 hospital admissions per year. Sixty-nine percent received a kidney transplant, and the global mortality was 10%. Survival at 5 years was 96%. Mean equivalent renal urea clearance was 15.6 ± 4.2 mL/min, the β-2 microglobulin reduction rate was 67 ± 18%, the number of antihypertension drugs was 0.7 ± 0.3, and the erythropoietin resistance index was 3.7 ± 2.1 IU/kg/week/g/dL. Daily home hemodialysis is a viable option for renal replacement therapy and should be offered alongside other therapies.
authors.affiliation: Nephrology Unit, Hospital Gregorio Marañón, Madrid, Spain.
authors.forename: Almudena
authors.initials: A
authors.lastname: Vega
authors.affiliation: Nephrology Unit, Hospital Gregorio Marañón, Madrid, Spain.
authors.forename: María José
authors.initials: MJ
authors.lastname: Sequí
authors.affiliation: Nephrology Unit, Hospital Gregorio Marañón, Madrid, Spain.
authors.forename: Soraya
authors.initials: S
authors.lastname: Abad
authors.affiliation: Nephrology Unit, Hospital Gregorio Marañón, Madrid, Spain.
authors.forename: Claudia
authors.initials: C
authors.lastname: Yuste
authors.affiliation: Nephrology Unit, Hospital Gregorio Marañón, Madrid, Spain.
authors.forename: Alba
authors.initials: A
authors.lastname: Santos
authors.affiliation: Nephrology Unit, Hospital Gregorio Marañón, Madrid, Spain.
authors.forename: Nicolás
authors.initials: N
authors.lastname: Macías
authors.affiliation: Nephrology Unit, Hospital Gregorio Marañón, Madrid, Spain.
authors.forename: Juan M
authors.initials: JM
authors.lastname: López-Gómez
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006437:Hemodialysis, Home / Q000379:methods* / Q000706:statistics & numerical data; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D016030:Kidney Transplantation / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D013030:Spain; D016019:Survival Analysis; D055815:Young Adult
keywords: Benefits; Daily home hemodialysis; Renal replacement therapy; Survival