Dialysis populations around the world are rising.1,2 Although recent growth is almost completely attributable to improving survival, mortality rates remain much higher than in age-matched U.S. residents, and conventional, thrice-weekly hemodialysis fails to adequately address:
To improve the quality of patients’ lives, intensive dialysis should be considered to address the fundamental complications that limit the long-term efficacy of conventional hemodialysis.
Impediments to increasing intensity include: physicians and dialysis providers, who each must fairly present to patients and their families the alternatives that exist to normalize life with dialysis; and payers, who must recognize that potentially increased dialysis costs can be offset by decreased costs due to acute care and medications for comorbid complications.
Reviews—summarized on this website and available in full for download—present clinical evidence for intensive hemodialysis and innovative perspectives on the role that intensive therapy may play in improving patient outcomes.View Resource Library
AdvancingDialysis.org is dedicated to providing clinicians and patients with better access to and more awareness of the reported clinical benefits and improved quality of life made possible with home dialysis, including more frequent, more intensive, and nocturnal therapy schedules.
AdvancingDialysis.org is a project of NxStage Medical, Inc.
All forms of hemodialysis, including treatments performed in-center and at home, involve some risks. In addition, there are certain risks unique to treatment in the home environment. Patients differ and not everyone will experience the reported benefits of more frequent hemodialysis.
Certain risks associated with hemodialysis treatment are increased when performing solo home hemodialysis because no one is present to help the patient respond to health emergencies.
Certain risks associated with hemodialysis treatment are increased when performing nocturnal therapy due to the length of treatment time and because therapy is performed while the patient and care partner are sleeping.