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Short daily home hemodialysis: The low dialysate volume approach

Joel D Glickman, MD
Thomas A Golper, MD
Section Editors
Jeffrey S Berns, MD
John M Burkart, MD
Deputy Editor
Alice M Sheridan, MD


The use of daily home dialysis has increased over the past decade. This increase is driven by increased awareness of better outcomes and quality of life provided by home dialysis and by short daily hemodialysis compared with conventional, in-center, three times per week hemodialysis. (See "Short daily hemodialysis" and "Home hemodialysis".)

This trend has prompted the development of effective hemodialysis equipment that may be used outside of a dialysis center. Although conventional hemodialysis machines have been used for home dialysis, such machines generally employ a high dialysis flow rate. High flow rates potentially increase water and electrical costs, often mandating home electrical and/or plumbing modifications that render the use of such machine impractical for some patients [1]. This topic reviews the requirements for a home hemodialysis machine and the approach used by NxStage to develop an effective dialysis machine for home use.

Issues relating to patient survival and the technical aspects of home hemodialysis, short daily hemodialysis, and nocturnal hemodialysis are discussed elsewhere. (See "Outcomes associated with nocturnal hemodialysis" and "Organization and elements of a home hemodialysis program" and "Technical aspects of nocturnal hemodialysis" and "Short daily hemodialysis" and "Home hemodialysis".)


An ideal home hemodialysis machine should have the following characteristics:

Easy to use

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Literature review current through: Nov 2017. | This topic last updated: Feb 04, 2016.
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