Affiliation:
1. School of Medicine University of Virginia Charlottesville Virginia USA
2. Division of Nephrology, Department of Medicine University of Virginia Charlottesville Virginia USA
3. Division of Nephrology, Department of Medicine MedStar Georgetown University Washington DC USA
4. Division of Nephrology and Hypertension, Department of Medicine University of California San Diego San Diego California USA
Abstract
AbstractIn end‐stage kidney disease (ESKD), patient engagement and empowerment are associated with improved survival and complications. However, patients lack education and confidence to participate in self‐care. The development of in center self‐care hemodialysis can enable motivated patients to allocate autonomy, increase satisfaction and engagement, reduce human resource intensiveness, and cultivate a curiosity about home dialysis. In this review, we emphasize the role of education to overcome barriers to home dialysis, strategies of improving home dialysis utilization in the COVID 19 era, the significance of in‐center self‐care dialysis (e.g., cost containment and empowering patients), and implementation of an in‐center self‐care dialysis as a bridge to home hemodialysis (HHD).
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