TY - JOUR
T1 - Home haemodialysis in the Netherlands
T2 - State of the art
AU - Bonenkamp, A. A.
AU - van Gelder, M. K.
AU - Abrahams, A. C.
AU - Boereboom, F. T. J.
AU - Cornelis, T.
AU - Luik, A. J.
AU - Ozyilmaz, A.
AU - van der Sande, F. M.
AU - van der Sluijs, A. van Eck
AU - Gerritsen, K. G. F.
AU - van Jaarsveld, B. C.
PY - 2018/5
Y1 - 2018/5
N2 - Home haemodialysis (HHD) has gained popularity in recent years, due to improved clinical outcomes associated with frequent or prolonged haemodialysis sessions, best achievable at home. However, several barriers to HHD are perceived by the physician and patient, among which lack of experience and education, logistic difficulties and reimbursement issues seem to be the most important ones. HHD, in particular when performed with intensified frequency or duration, is associated with improved quality of life, blood pressure control and survival. Serious adverse events are rare; however, more vascular access complications arise due to frequent needling. This emphasises the importance of comprehensive education and training. This review aims to provide the physician with a detailed state of the art overview on HHD in the Netherlands, discussing potential barriers and benefits, and offering practical advice.
AB - Home haemodialysis (HHD) has gained popularity in recent years, due to improved clinical outcomes associated with frequent or prolonged haemodialysis sessions, best achievable at home. However, several barriers to HHD are perceived by the physician and patient, among which lack of experience and education, logistic difficulties and reimbursement issues seem to be the most important ones. HHD, in particular when performed with intensified frequency or duration, is associated with improved quality of life, blood pressure control and survival. Serious adverse events are rare; however, more vascular access complications arise due to frequent needling. This emphasises the importance of comprehensive education and training. This review aims to provide the physician with a detailed state of the art overview on HHD in the Netherlands, discussing potential barriers and benefits, and offering practical advice.
KW - Barriers
KW - daily haemodialysis
KW - education
KW - home haemodialysis
KW - nocturnal haemodialysis
KW - IN-CENTER HEMODIALYSIS
KW - RANDOMIZED-CONTROLLED-TRIAL
KW - BLOOD-PRESSURE CONTROL
KW - FREQUENT NOCTURNAL HEMODIALYSIS
KW - PREDIALYSIS EDUCATION-PROGRAM
KW - LEFT-VENTRICULAR HYPERTROPHY
KW - DIALYSIS MODALITY SELECTION
KW - LONG INTERDIALYTIC INTERVAL
KW - VASCULAR ACCESS TYPE
KW - STAGE RENAL-DISEASE
M3 - Review article
SN - 0300-2977
VL - 76
SP - 144
EP - 157
JO - Netherlands Journal of Medicine
JF - Netherlands Journal of Medicine
IS - 4
ER -