It may surprise many Chronic Kidney Disease (CKD) patients that though receiving a kidney from a living donor is found to give the best results, Home Dialysis has proven to be very comparable to having received a Deceased Donor Kidney in terms of longevity and quality of life.
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Treatment options for patients with kidney disease have dramatically expanded and improved over the last decade. Thus individuals such as yourself should remain aware of the types of dialysis treatments that are available and ask your Nephrologist about them as well as the support offered. Besides giving you more flexibility, Home Dialysis enables you to dialyze more frequently, which better replicates how normal kidneys work. Also, studies have consistently shown that patients are less likely to be depressed when they dialyze at home, and major depression is linked to poor outcomes in CKD patients.
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Still, approximately 90% of patients simply prefer to have their dialysis done at a center. A lot of them are pleased to have a trained professional who takes care of all their dialysis related issues and many enjoy the social atmosphere at centers. Two general types of Home Dialysis are available: Hemodialysis (HD) and Peritoneal Dialysis (PD). Home HD that is done during the night has shown the best results of all dialysis modalities because it provides patients additional convenience, more energy and better health outcomes.
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The advantages of Home Dialysis are multiple: no need for travel to a dialysis center, flexible treatment schedules, the ability to travel away from home easily. The science is clear that there are significantly more benefits from frequent dialysis such as better blood pressure control, spiked energy level, quick recovery, better appetite, less hospitalizations, and increased life-span.
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The training time for Home HD is about three weeks and PD is about three half days. The bottom line according to the Journal of the American Society of Nephrology, is to dialyze the maximum amount of time you possibly can, based on your lifestyle because you will feel better and it will improve the quality of your life significantly.
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"The Benefits of Home Dialysis." - Washington University Physicians in St. Louis, MO.
"New Evidence of the Benefits of Home Dialysis for Kidney Patients." ScienceDaily.
"More Kidney Dialysis Is Better, Research Finds." US News. U.S.News & World Report
"At-home Dialysis Touted as the next Best Thing." The Globe and Mail.