Home haemodialysis in Australia - is the wheel turning full circle?
In the mid 1970s, home haemodialysis accounted for nearly half of all patients on dialysis, both in Australia and elsewhere. The advent of both peritoneal dialysis (itself a home therapy) and satellite haemodialysis resulted in a gradual attrition in the use of home haemodialysis. Since 2000, the in...
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Veröffentlicht in: | Medical journal of Australia 2010-04, Vol.192 (7), p.403-406 |
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creator | Agar, John W M Hawley, Carmel M George, Charles R P Mathew, Timothy H McDonald, Stephen P Kerr, Peter G |
description | In the mid 1970s, home haemodialysis accounted for nearly half of all patients on dialysis, both in Australia and elsewhere.
The advent of both peritoneal dialysis (itself a home therapy) and satellite haemodialysis resulted in a gradual attrition in the use of home haemodialysis.
Since 2000, the introduction of nocturnal home haemodialysis has begun to change this pattern in Australia, with a sharp growth in the uptake of home haemodialysis.
Home haemodialysis, which enables longer hours and more frequent treatments than facility‐based (hospital or satellite centre) dialysis, appears to offer improved patient outcomes in observational studies; randomised studies are necessary to confirm these findings.
Home haemodialysis is also a cheaper form of therapy than facility‐based dialysis.
As newer, simpler and more user‐friendly equipment is emerging that will make home haemodialysis even more accessible and attractive to the consumer, we believe that this trend toward a greater uptake of home haemodialysis should and will continue. |
doi_str_mv | 10.5694/j.1326-5377.2010.tb03565.x |
format | Article |
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The advent of both peritoneal dialysis (itself a home therapy) and satellite haemodialysis resulted in a gradual attrition in the use of home haemodialysis.
Since 2000, the introduction of nocturnal home haemodialysis has begun to change this pattern in Australia, with a sharp growth in the uptake of home haemodialysis.
Home haemodialysis, which enables longer hours and more frequent treatments than facility‐based (hospital or satellite centre) dialysis, appears to offer improved patient outcomes in observational studies; randomised studies are necessary to confirm these findings.
Home haemodialysis is also a cheaper form of therapy than facility‐based dialysis.
As newer, simpler and more user‐friendly equipment is emerging that will make home haemodialysis even more accessible and attractive to the consumer, we believe that this trend toward a greater uptake of home haemodialysis should and will continue.</description><identifier>ISSN: 0025-729X</identifier><identifier>EISSN: 1326-5377</identifier><identifier>DOI: 10.5694/j.1326-5377.2010.tb03565.x</identifier><identifier>PMID: 20367590</identifier><language>eng</language><publisher>Australia</publisher><subject>Australia ; Cost-Benefit Analysis ; Costs ; Diseases ; Health economics ; Hemodialysis, Home - economics ; Hemodialysis, Home - methods ; Hemodialysis, Home - mortality ; Hemodialysis, Home - trends ; Humans ; Kidney diseases ; Kidney Transplantation ; Patients ; Survival Rate ; Therapy ; Urologic diseases</subject><ispartof>Medical journal of Australia, 2010-04, Vol.192 (7), p.403-406</ispartof><rights>2010 AMPCo Pty Ltd. All rights reserved</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4395-2ba62e991efa713801c6733403f3686b69d43112d6efdfb18f7e9a16cbbf09c43</citedby><cites>FETCH-LOGICAL-c4395-2ba62e991efa713801c6733403f3686b69d43112d6efdfb18f7e9a16cbbf09c43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.5694%2Fj.1326-5377.2010.tb03565.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.5694%2Fj.1326-5377.2010.tb03565.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20367590$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Agar, John W M</creatorcontrib><creatorcontrib>Hawley, Carmel M</creatorcontrib><creatorcontrib>George, Charles R P</creatorcontrib><creatorcontrib>Mathew, Timothy H</creatorcontrib><creatorcontrib>McDonald, Stephen P</creatorcontrib><creatorcontrib>Kerr, Peter G</creatorcontrib><title>Home haemodialysis in Australia - is the wheel turning full circle?</title><title>Medical journal of Australia</title><addtitle>Med J Aust</addtitle><description>In the mid 1970s, home haemodialysis accounted for nearly half of all patients on dialysis, both in Australia and elsewhere.
The advent of both peritoneal dialysis (itself a home therapy) and satellite haemodialysis resulted in a gradual attrition in the use of home haemodialysis.
Since 2000, the introduction of nocturnal home haemodialysis has begun to change this pattern in Australia, with a sharp growth in the uptake of home haemodialysis.
Home haemodialysis, which enables longer hours and more frequent treatments than facility‐based (hospital or satellite centre) dialysis, appears to offer improved patient outcomes in observational studies; randomised studies are necessary to confirm these findings.
Home haemodialysis is also a cheaper form of therapy than facility‐based dialysis.
As newer, simpler and more user‐friendly equipment is emerging that will make home haemodialysis even more accessible and attractive to the consumer, we believe that this trend toward a greater uptake of home haemodialysis should and will continue.</description><subject>Australia</subject><subject>Cost-Benefit Analysis</subject><subject>Costs</subject><subject>Diseases</subject><subject>Health economics</subject><subject>Hemodialysis, Home - economics</subject><subject>Hemodialysis, Home - methods</subject><subject>Hemodialysis, Home - mortality</subject><subject>Hemodialysis, Home - trends</subject><subject>Humans</subject><subject>Kidney diseases</subject><subject>Kidney Transplantation</subject><subject>Patients</subject><subject>Survival Rate</subject><subject>Therapy</subject><subject>Urologic diseases</subject><issn>0025-729X</issn><issn>1326-5377</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkE2P0zAQhi0EYsvCX0AWF04p_ojtmAuqKpYFLeICEjfLScZbV05SbEe7_fc4bdk7p_HMvPNYehB6R8laSF1_2K8pZ7ISXKk1I2WaW8KFFOvHZ2j1tHqOVoQwUSmmf1-hVyntS0sFUy_RFSNcKqHJCm1vpwHwzsIw9d6GY_IJ-xFv5pSjDd7iCpdJ3gF-2AEEnOc4-vEeuzkE3PnYBfj0Gr1wNiR4c6nX6NfN55_b2-rux5ev281d1dVci4q1VjLQmoKzivKG0E4qzmvCHZeNbKXua04p6yW43rW0cQq0pbJrW0d0YVyj92fuIU5_ZkjZDD51EIIdYZqTKbBGCKaX5MdzsotTShGcOUQ_2Hg0lJjFodmbRZRZRJnFobk4NI_l-O3lm7kdoH86_SetBDbnwIMPcPwPtPn-bcNO78K4OTPi4LOxB-uy2eV8SKa32Ro_uum0meK96Se_wDmn0ngIJXzikrrRiv8Fjl6Z7A</recordid><startdate>20100405</startdate><enddate>20100405</enddate><creator>Agar, John W M</creator><creator>Hawley, Carmel M</creator><creator>George, Charles R P</creator><creator>Mathew, Timothy H</creator><creator>McDonald, Stephen P</creator><creator>Kerr, Peter G</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20100405</creationdate><title>Home haemodialysis in Australia - is the wheel turning full circle?</title><author>Agar, John W M ; Hawley, Carmel M ; George, Charles R P ; Mathew, Timothy H ; McDonald, Stephen P ; Kerr, Peter G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4395-2ba62e991efa713801c6733403f3686b69d43112d6efdfb18f7e9a16cbbf09c43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Australia</topic><topic>Cost-Benefit Analysis</topic><topic>Costs</topic><topic>Diseases</topic><topic>Health economics</topic><topic>Hemodialysis, Home - economics</topic><topic>Hemodialysis, Home - methods</topic><topic>Hemodialysis, Home - mortality</topic><topic>Hemodialysis, Home - trends</topic><topic>Humans</topic><topic>Kidney diseases</topic><topic>Kidney Transplantation</topic><topic>Patients</topic><topic>Survival Rate</topic><topic>Therapy</topic><topic>Urologic diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Agar, John W M</creatorcontrib><creatorcontrib>Hawley, Carmel M</creatorcontrib><creatorcontrib>George, Charles R P</creatorcontrib><creatorcontrib>Mathew, Timothy H</creatorcontrib><creatorcontrib>McDonald, Stephen P</creatorcontrib><creatorcontrib>Kerr, Peter G</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Medical journal of Australia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Agar, John W M</au><au>Hawley, Carmel M</au><au>George, Charles R P</au><au>Mathew, Timothy H</au><au>McDonald, Stephen P</au><au>Kerr, Peter G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Home haemodialysis in Australia - is the wheel turning full circle?</atitle><jtitle>Medical journal of Australia</jtitle><addtitle>Med J Aust</addtitle><date>2010-04-05</date><risdate>2010</risdate><volume>192</volume><issue>7</issue><spage>403</spage><epage>406</epage><pages>403-406</pages><issn>0025-729X</issn><eissn>1326-5377</eissn><abstract>In the mid 1970s, home haemodialysis accounted for nearly half of all patients on dialysis, both in Australia and elsewhere.
The advent of both peritoneal dialysis (itself a home therapy) and satellite haemodialysis resulted in a gradual attrition in the use of home haemodialysis.
Since 2000, the introduction of nocturnal home haemodialysis has begun to change this pattern in Australia, with a sharp growth in the uptake of home haemodialysis.
Home haemodialysis, which enables longer hours and more frequent treatments than facility‐based (hospital or satellite centre) dialysis, appears to offer improved patient outcomes in observational studies; randomised studies are necessary to confirm these findings.
Home haemodialysis is also a cheaper form of therapy than facility‐based dialysis.
As newer, simpler and more user‐friendly equipment is emerging that will make home haemodialysis even more accessible and attractive to the consumer, we believe that this trend toward a greater uptake of home haemodialysis should and will continue.</abstract><cop>Australia</cop><pmid>20367590</pmid><doi>10.5694/j.1326-5377.2010.tb03565.x</doi><tpages>4</tpages></addata></record> |
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source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
subjects | Australia Cost-Benefit Analysis Costs Diseases Health economics Hemodialysis, Home - economics Hemodialysis, Home - methods Hemodialysis, Home - mortality Hemodialysis, Home - trends Humans Kidney diseases Kidney Transplantation Patients Survival Rate Therapy Urologic diseases |
title | Home haemodialysis in Australia - is the wheel turning full circle? |
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