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https://hdl.handle.net/2440/53755
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Type: | Journal article |
Title: | Home hemodialysis in Australia: Current perspectives |
Author: | Kerr, P. Polkinghorne, K. McDonald, S. |
Citation: | Hemodialysis International, 2008; 12(1):S6-S10 |
Publisher: | Wiley-Blackwell Publishing, Inc. |
Issue Date: | 2008 |
ISSN: | 1492-7535 1542-4758 |
Statement of Responsibility: | Peter G. Kerr, Kevan R. Polkinghorne and Stephen P. McDonald |
Abstract: | Home hemodialysis (HD) in Australia represents 11% of the dialysis population. This percentage has declined over the last 20 years but the absolute number of home HD patients has increased since 2001. The major reason for this resurgence has been the institution of nocturnal HD at home. Predominantly, this has been as a strictly alternate day exercise, although 5-6 times per week dialysis is also practised. Short-daily HD is uncommon in Australia. Nocturnal HD now comprises 30% or more of all home HD. Most home HD in Australia is practiced without remote monitoring, using simple machines with separate reverse osmosis units. Patients tend to self-needle and not all have a "partner." The enthusiasm for nocturnal HD in particular has been fuelled by ANZDATA Registry data demonstrating a survival advantage for patients dialyzing alternate days compared with 3 times per week; and for patients dialyzing for >18 hours per week compared with 12 or 15 hours per week. |
Keywords: | Humans Kidney Failure, Chronic Hemodialysis, Home Registries Australia |
Description: | The definitive version may be found at www.wiley.com |
Rights: | © 2008 The Authors. Journal compilation © 2008 International Society for Hemodialysis |
DOI: | 10.1111/j.1542-4758.2008.00288.x |
Published version: | http://dx.doi.org/10.1111/j.1542-4758.2008.00288.x |
Appears in Collections: | Aurora harvest 5 Medicine publications |
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