Table of Content
In Dr. Arshia Ghaffari’s study, reported in abstract form at the NKF Spring Clinicals, the clear winner was urgent start PD. Urgent start HD had a 43% higher rate of hospitalization and 4.3 times the number of catheter-related infections. The Bipartisan Chronic Care Working Group recommends allowing telehealth use for the required monthly clinical visit for home dialysis to provide greater flexibility and encourage patient independence.

A Fresenius poster at the Annual Dialysis Conference looked at the frequency of bloodstream infections among home HD patients using the Buttonhole technique. The group instituted a best-practices approach to wash the access site before cannulating, scrub to remove scabs, and perform skin prep and cannulation while training. After almost 3 years, no patients on home HD in the study group had an access-related BSI.
CME credits available for attendees & online participants
Sharesource lets clinicians adjust the PD prescription without an in-person visit. NMC Healthcare, the largest private healthcare company in the United Arab Emirates, has launched home dialysis services in Dubai through its subsidiary, ProVita. Describe current trends and established strategies in the management of the full range of services required by adult and pediatric dialysis patients. Review appropriate dialysis therapies to meet the medical and psychosocial needs of CKD patients and their families. Among populations with greater socioeconomic disadvantages, kidney failure remains an outsized burden, and this disparity is further seen in the relative rates of home dialysis uptake. In a study of almost 4,000 nursing home residents followed for up to 6 years, those who were given short daily HD lived far longer than who received standard in-center HD .
Both researchers and clinicians will find sessions of interest to them. Extensive commercial exhibits give participants a chance to see for themselves what is new in PD and HD products and services. Transfers to hemodialysis among US patients initiating renal replacement therapy with peritoneal dialysis. The Home Dialysis Conference brought together health care professionals, carers and patients from Australia, New Zealand and the Pacific who focussed on building and developing home based dialysis therapies. Eight hour treatments three times a week at night don’t intrude on the work schedule and allow people to feel better. Among 121,623 patients starting dialysis, those who began with PD had a 25% lower chance of developing dementia than those who started with HD—even after adjusting for age, gender, and other factors.
Living Well with Home Treatments
Home dialysis therapy, including home hemodialysis and peritoneal dialysis, is underused as a modality for the treatment of chronic kidney failure. The National Kidney Foundation-Kidney Disease Outcomes Quality Initiative sponsored a home dialysis conference in late 2017 that was designed to identify the barriers to starting and maintaining patients on home dialysis therapy. Clinical, operational, policy, and societal barriers were identified that need to be overcome to ensure that dialysis patients have the freedom to choose their treatment modality.
(But, you knew that, right?) Dr. Alfred Cheung, who was the program chair for the NKF Spring Clinical meeting in Las Vegas, says the NKF wants to “spark more enthusiasm” for the therapy. Changes to the bundle have made PD more appealing, and numbers are rising. Newer technology—and recognition of the downsides of doing HD just 3 days a week are driving an upsurge in home HD as well.
More Nephrology & Urology Events
The symposium is bringing together innovators, bioengineers, nephrologists, patients and more to discuss ways to transform dialysis. It's sure to be an interesting event -- lots of great speakers lined up. Beginning in 2019, telehealth has been approved for 2 of every 3 monthly clinic visits, using patients’ homes as originating sites. A home program at the Grand River Hospital in the Ontario Renal Network has more than 150 patients!

“Is the patient actually ready when we’re talking to him or her about home dialysis? ” Both patients and physicians need to be prepared, if we are to grow PD and home HD, noted Chan, Director of Nephrology at University Health Network in Toronto, in a presentation at the International Conference on Dialysis. Baxter has launched an FDA-approved clinical trial of system that will use a small device to blend filtered water with concentrate to make tap water into PD fluid. The safety and efficacy trial, which will run for 12 weeks, has enrolled its first patient, and will be used to support a New Drug Application to the FDA.
Dialysis Conference 2019
This CE Activity provides 15.25 contact hours of continuing nursing education. The International Society for Hemodialysis will partner with Medical Education Resources for the provision of Physician Credit and Nursing Credit Hours. We offer exhibits at this conference because we think it is important for participants to be exposed to the products and services that make dialysis possible. The University of Missouri School of Medicine invites you to be a part of the Annual Dialysis Conference . This international conference has become the most important annual meeting in the world for all forms of dialysis.

A new, brief video dispels common myths and offers facts to help support the choice of home dialysis. Tracey Amadi is making history—she is the first person use the Outset Medical Tablo automated, touchscreen hemodialysis machine at home. After 358 visits to 32 people on PD, Satellite researchers have concluded that the staff-assisted PD program can help people transition to and remain on PD—and 90% went on to do independent PD. Evaluate the latest evidence concerning the prevention and management of complications of CKD and dialysis.
Copyright © 2022 Elsevier Inc. except certain content provided by third parties. Regardless, comprehensive education followed by a patient-centric discussion of treatment modalities should occur. Even when dialysis must be initiated within 48 hours of patient presentation, PD is a possibility if the right resources exist and certainly an early transition to PD is possible. Utilization of CMS pre-ESRD Kidney Disease Education services and its associations with the home dialysis therapies. In Victoria, Australia, a Big Red Kidney Bus will set up for 6 weeks at a time at popular holiday spots, staffed by nurses and technicians. The new bus makes vacations possible for many who would not otherwise travel.

These individuals will have acute illnesses requiring acute-care and rehabilitation hospitalizations, as well as chronic conditions limiting physical and cognitive function. The lack of clinical expertise in many hospitals and the paucity of rehabilitation facilities, long-term acute-care hospitals, and nursing homes with the willingness or ability to care for PD patients limits PD as an option. Additionally, patients with greater comorbid conditions are more reliant on family support, potentially resulting in greater need for respite and assisted-PD options. Patients treated with both hemodialysis and peritoneal dialysis from the start had better outcomes than those who used just one or the other, found researchers from Japan who presented at the Annual Dialysis Conference.
Assisted PD opens up this option to people who could not otherwise do PD themselves. A Victoria, Australia, assisted PD program is letting people with cognitive or vision problems dialyze in the comfort of their own homes. The money-saving program won an award at an industry function in Melbourne, Australia. HHD provides better care while saving as much as $60 million dollars in New South Wales alone—as well as reducing the mortality rate by as much as 20%, said researcher Andrew Page. Nocturnal HD and other forms of home dialysis are among the areas the National Kidney Foundation of Singapore is looking at building up to better meet the needs of patients. The University of Alabama at Birmingham is piloting a 3-year PD telemedicine trial, thanks to a Baxter grant.