Skip Navigation



NDT Advance Access published online on March 14, 2006
Nephrology Dialysis Transplantation, doi:10.1093/ndt/gfl093
This Article
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
21/7/1934    most recent
gfl093v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by MacGregor, M. S.
Right arrow Articles by Blagg, C. R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by MacGregor, M. S.
Right arrow Articles by Blagg, C. R.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author [2006]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Received January 12, 2006
Accepted February 17, 2006

Original Article

Home haemodialysis--international trends and variation

Mark S. MacGregor 1 *, John W.M. Agar 2, and Christopher R. Blagg 3

1 The John Stevenson Lynch Renal Unit, Crosshouse Hospital, NHS Ayrshire & Arran, Kilmarnock, KA2 0BE, Scotland
2 Renal Unit, The Geelong Hospital, Barwon Health, Geelong, Victoria 3220, Australia
3 Northwest Kidney Centers, 700 Broadway, Seattle, Washington 98122, USA

* To whom correspondence should be addressed.
Mark S. MacGregor, E-mail: Mark.MacGregor{at}aaaht.scot.nhs.uk



  Abstract

Background. Home haemodialysis (HD) has the best patient outcomes and is the most cost-effective of any dialysis modality, but its use has been declining in many countries.

Methods. Point prevalence of different dialysis modalities and transplantation were obtained from national and regional registries for the most recent available year (2001-03) for 21 high-income and 12 middle-income countries. Relationships with median age and prevalence of diabetic nephropathy, healthcare expenditure and population density were assessed. Long-term trends in the use of home HD during the last two to four decades were obtained for seven countries.

Results. The prevalence of home HD varies from 0 to 58.4 per million population, and varies between countries, more than any other renal replacement therapy (RRT) modality. There is a positive association between the use of peritoneal dialysis and home HD (Spearman's {rho} = 0.531, P = 0.013), but no correlation with transplantation prevalence. There is a negative correlation with median age of the renal replacement population ({rho} = -0.552, P = 0.018). There is no association with prevalence of diabetic nephropathy, healthcare expenditure or population density. Temporal trends in home HD prevalence are dramatically different in different countries, with several countries expanding its use in the last few years.

Conclusion. The use of home HD varies dramatically between and within countries. The variation cannot be explained by the variation in the use of other RRT modalities, nor by prevalence of diabetic nephropathy, national wealth or population density. The inverse correlation with median age is difficult to explain. Significant expansion of home HD is likely to be possible in most countries, and will be increasingly important as the impressive results of more frequent HD gain credence.

Keywords: chronic kidney failure; health expenditures; home haemodialysis; population density; prevalence; registries.
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Nephrol Dial TransplantHome page
G. Bayliss and J. Danziger
Nocturnal versus conventional haemodialysis: some current issues
Nephrol. Dial. Transplant., December 1, 2009; 24(12): 3612 - 3617.
[Full Text] [PDF]

Home page
 NDT PlusHome page
F. J. Caskey, V. S. Stel, R. F. Elliott, K. J. Jager, A. Covic, A. Cusumano, C. Geue, A. Kramer, B. Stengel, and A. M. MacLeod
The EVEREST study: an international collaboration
NDT Plus, October 19, 2009; (2009) sfp146v1.
[Abstract] [Full Text] [PDF]

Home page
 Nephrol Dial TransplantHome page
R. P. Pauly, J. S. Gill, C. L. Rose, R. A. Asad, A. Chery, A. Pierratos, and C. T. Chan
Survival among nocturnal home haemodialysis patients compared to kidney transplant recipients
Nephrol. Dial. Transplant., September 1, 2009; 24(9): 2915 - 2919.
[Abstract] [Full Text] [PDF]

Home page
 Nephrol Dial TransplantHome page
M. Copland, D. Murphy-Burke, A. Levin, R. S. Singh, P. Taylor, and L. Er
Implementing a home haemodialysis programme without adversely affecting a peritoneal dialysis programme
Nephrol. Dial. Transplant., August 1, 2009; 24(8): 2546 - 2550.
[Abstract] [Full Text] [PDF]

Home page
 CJASNHome page
J. A. Cafazzo, K. Leonard, A. C. Easty, P. G. Rossos, and C. T. Chan
Patient-Perceived Barriers to the Adoption of Nocturnal Home Hemodialysis
Clin. J. Am. Soc. Nephrol., April 1, 2009; 4(4): 784 - 789.
[Abstract] [Full Text] [PDF]

Home page
 CJASNHome page
R. P. Pauly, M. Copland, P. Komenda, A. Levin, A. Pierratos, and C. T. Chan
Utility and Limitations of a Multicenter Nocturnal Home Hemodialysis Cohort
Clin. J. Am. Soc. Nephrol., November 1, 2008; 3(6): 1846 - 1851.
[Abstract] [Full Text] [PDF]

Home page
 BMJHome page
C. R Blagg
Home haemodialysis
BMJ, January 5, 2008; 336(7634): 3 - 4.
[Full Text] [PDF]

Home page
 Nephrol Dial TransplantHome page
S. Shaldon
Origin of home haemodialysis
Nephrol. Dial. Transplant., December 1, 2006; 21(12): 3610 - 3611.
[Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.