Home Hemodialysis and Satellite Hemodialysis

  • Christopher Blagg


More than thirty years ago, hemodialysis was the first high-technology health care treatment to be transferred to the home and carried out by the patient with the help of a family member or other individual. Originally undertaken primarily for financial reasons, it soon became obvious that home hemodialysis increased the opportunity for patient independence and rehabilitation and provided an improved quality of life compared with patients dialyzing in a hospital or other outpatient dialysis facility. As financing improved for the treatment of end-stage renal disease (ESRD), the use of home hemodialysis declined and outpatient hemodialysis became the predominant treatment. Now, perhaps, the time is coming for home hemodialysis to come into its own again


Continuous Ambulatory Peritoneal Dialysis Health Care Financing Dialysis Unit Continuous Ambulatory Peritoneal Dialysis Patient Dialysis Facility 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Quinton W, Dillard D, Scribner BH: Cannulation of blood vessels for prolonged hemodialysis. Trans Am Soc Artif Intern Organs 6: 104, 1960PubMedGoogle Scholar
  2. 2.
    Murray JS, Tu WH, Albers JB, Burnell JM, Scribner BH: A community hemodialysis center for the treatment of chronic uremia. Trans Am Soc Artif Intern Organs 8: 315. 1962PubMedGoogle Scholar
  3. 3.
    Nosé Y: Discussion. Trans Am Soc Artif Intern Organs 11: 15, 1965Google Scholar
  4. 4.
    Grimsrud L, Cole JJ, Lehman GA, Babb AL, Scribner BH: A central system for the continuous preparation and distribution of hemodialysis fluid. Trans Am Soc Artif Intern Organs 10: 107, 1964PubMedGoogle Scholar
  5. 5.
    Curtis FK, Cole JJ, Fellows BJ, Tyler LL, Scribner BH: Hemodialysis in the home. Trans Am Soc Artif Intern Organs 11: 7, 1965PubMedGoogle Scholar
  6. 6.
    Merrill JP, Schupak E, Cameron E, Hampers CL: Hemodialysis in the home. JAMA 190: 468, 1964PubMedGoogle Scholar
  7. 7.
    Baillod RA, Comty C, Ilahi M, Konotey-Ahulu FID, Sevitt L, Shaldon S: Overnight haemodialysis in the home. Proc Eur Dial Transplant Assoc 2: 99, 1965Google Scholar
  8. 8.
    Eschbach JW Jr, Wilson WE Jr, Peoples RW, Wakefield AW, Babb AL, Scribner BH: Unattended overnight home hemodialysis. Trans Am Soc Artif Intern Organs 12: 346, 1966PubMedGoogle Scholar
  9. 9.
    Grimsrud L, Cole JJ, Eschbach JW, Babb AL, Scribner BH: Safety aspects of hemodialysis. Trans Am Soc Artif Intern Med 13: 1, 1967Google Scholar
  10. 10.
    Blagg CR, Hickman RO, Eschbach JW, Scribner BH: Home hemodialysis: six years experience. N Engl J Med 283: 1126, 1970PubMedCrossRefGoogle Scholar
  11. 11.
    Stinson JW, Clark MF, Sawyer TK, Blagg CR: Home hemodialysis training in three weeks. Trans Am Soc Artif Intern Organs 18: 66, 1972PubMedGoogle Scholar
  12. 12.
    Clark MF: Experience with paid dialysis helpers. J Am Assoc Nephrol Nurses and Technicians 4(Suppl Edn): 39, 1977Google Scholar
  13. 13.
    Jenkins PG, Gutmann FD, Rieselbach RE: Self-hemodialysis. The optimal mode of dialytic therapy. Archives of Internal Medicine 136: 357, 1976PubMedCrossRefGoogle Scholar
  14. 14. ESRD Facility Survey System, Dec 31, 1978. Washington, DC.: Department of Health, Education, and Welfare, 1978Google Scholar
  15. 15. Health Care Financing, Research Report, End-Stage Renal Disease, 1984: Baltimore, MD. US Department of Health and Human Services, Health Care Financing Administration, Bureau of Data Management and Strategy, Office of Research and Demonstrations, 1986Google Scholar
  16. 16. Health Care Financing, Research Report, End Stage Renal Disease, 1991: Baltimore, MD. Department of Health and Human Services, Health Care Financing Administration, Bureau of Data Management and Strategy, Office of Research and Demonstrations, 1993Google Scholar
  17. 17. Editorial: Dialysis and Transplantation. Med J Aust 1: 102, 1981Google Scholar
  18. 18.
    Shimizu A: Dialysis in Canada today. Int J Artif Organs 4: 41, 1981PubMedGoogle Scholar
  19. 19.
    Jacobs C, Broyer M, Brunner FP, Brynger H, Donckerwolcke RA, Kramer P, Selwood NH, Wing AJ, Blake PH: Combined report on regular dialysis and transplantation in Europe. Proc Eur Dial Transplant Assoc 18: 4, 1981PubMedGoogle Scholar
  20. 20.
    Broyer M, Brunner FP, Brynger H, Fassbinder W, Guillou PJ, Oules R, Rizzoni G, Selwood NH, Wing AJ, Challah S, Dykes SR: EDTA Registry Centre Survey, 1985: Report from the European Dialysis and Transplant Association Registry. Nephrol Dial Transplant 2: 475, 1987Google Scholar
  21. 21.
    Raine AEG, Margreiter R, Brunner FP, Enrich JHH, Geerlings W, Landais P, Loirat C, Mallick NP, Selwood NH, Tufveson G, Valderrabano F: Report on management of renal failure in Europe. Nephrol Dial Transplant 7(Suppl 2): 7, 1992PubMedGoogle Scholar
  22. 22. Canadian Organ Replacement Register, 1992 Annual Report. Don Mills, Ontario, Canada, Canadian Institute for Health Information, Don Mills, Ontario, March 1994Google Scholar
  23. 23.
    Disney APS ed: Sixteenth Annual Report of the Australia and New Zealand Dialysis and Transplant Registry (ANZ-DATA), 1993. Adelaide, South Australia. Australian Kidney Foundation, 1993Google Scholar
  24. 24.
    Rennie D, Rettig RA, Wing AJ: Limited resources and the treatment of end-stage renal failure in Britain and the United States. Q J Med 56: 321, 1985PubMedGoogle Scholar
  25. 25.
    Nissenson AR, Prichard SS, Cheng IKP, Gokal R, Kubota M, Maiorca R, Riella MC, Rottembourg J, Stewart JH: Non-medical factors that impact on ESRD modality selection. Kidney Int 43(Suppl 40): S120, 1992Google Scholar
  26. 26. Health Care Financing Administration: End Stage Renal Disease Program Highlights 1993, 1994. Health Care Financing Administration, Bureau of Data Management and Strategy: Data from the Program Management and Medical Information System, 1987–1993Google Scholar
  27. 27.
    Cleary PD, Schlesinger M, Blumenthal D: Factors affecting the availability and use of hemodialysis facilities. Health Care Financing Review 13: 49, 1991PubMedGoogle Scholar
  28. 28.
    Schmidt RW, Blumenkrantz M, Wiegmann TB: The dilemmas of patient treatment for end-stage renal disease. Am J Kidney Dis 3: 37, 1983PubMedGoogle Scholar
  29. 29.
    Gardner K: Profit and the end-stage renal disease program. N Engl J Med 305: 461, 1981PubMedGoogle Scholar
  30. 30.
    D’Amico G: Treating end-stage renal-failure in Italy. in Renal Failure. Who Cares?, edited by Parsons FM, Ogg CS, Lancaster, England, MTP Press Ltd, 1983, p 89Google Scholar
  31. 31.
    Robin-Tani M: Worldwide renal care: Japanese methodology. Contemp Dial 11: 50, 1983Google Scholar
  32. 32.
    Wing AJ: A different view from different countries: United Kingdom. in Ethical Problems in Dialysis and Transplantation, edited by Kjellstrand CM, Dossetor JB, Dordrecht, The Netherlands, Kluwer Academic Publishers, 1993, p 207Google Scholar
  33. 33.
    US Renal Data System, USRDS 1994 Annual Data Report: Bethesda, MD. The National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, 1994Google Scholar
  34. 34.
    Roberts CM: Home dialysis in the haemophiliac) paraplegic patient. Proc Eur Dial Transpl Nurses Assoc 7 62, 1979Google Scholar
  35. 35.
    Roberts CM, Davis B, Pavitt L: Home dialysis training in a blind patient and a deaf patient. Proc Eur Dial Transpl Nurses Assoc 1: 41, 1973Google Scholar
  36. 36.
    Wass VJ, Barratt TM, Howarth RV, Marshall WA, Chantler C, Ogg CS, Cameron JS, Baillod RA, Moorhead JP: Home haemodialysis in children. Report of the Ldndon Children’s Home Dialysis Group. Lancet 1: 2426, 1977PubMedGoogle Scholar
  37. 37.
    Baillod RA, Moorhead JF: Review of ten years’ home dialysis. Proc Eur Dial Transplant Assoc 11: 68, 1975PubMedGoogle Scholar
  38. 38.
    Baillod RA: Home dialysis. in Replacement of Renal Function by Dialysis, 2nd ed, edited by Drukker W, Parsons FM, Maher JF, Boston, Martinus Nijhoff, 1983, p 493Google Scholar
  39. 39.
    Sawyer TK, Blagg CR, Nissenson AR, Fine RN eds: Dialysis Therapy. 2nd ed. St Louis, The CV Mosby Co, 1992, Home preparation and installation for home dialysis. p 52Google Scholar
  40. 40.
    Snow W, Clark M: Understanding patient learning and performance capabilities for home dialysis training. J Am Assoc Nephrology Nurses & Technicians 3: 20, 1976Google Scholar
  41. 41.
    Eschbach JW, Seymour M, Potts A, Clark M, Blagg CR: A hemodialysis orientation unit. Nephron 33: 106, 1983PubMedGoogle Scholar
  42. 42.
    Smith MD, Hong BA, Michelman JE, Robson AM: Treatment bias in the management of end-stage renal disease. Am J Kidney Dis 3: 21, 1983PubMedGoogle Scholar
  43. 43.
    Mattern WD, McGaghie WC, Rigby RJ, Nissenson AR, Dunham CB, Khayrallah MA: Selection of ESRD treatment: an international study. Am J Kidney Dis 13: 457, 1989PubMedGoogle Scholar
  44. 44.
    Florkemeier V, Bayer H, Finke K, Schadlich HJ, Sieberth HG: An audio-visual teaching programme for training home dialysis patients. Proc Eur Dial Transplant Assoc 10: 538, 1973PubMedGoogle Scholar
  45. 45.
    Maiorca R, Castellani A, Cristinelli L, Migozzi G, Mileti M, Mombelloni S, Usberti M: A video box colour film for home dialysis training. Proc Eur Dial Transplant Assoc 10: 545, 1973PubMedGoogle Scholar
  46. 46.
    Delano BG, Feinroth MV, Feinroth M, Friedman EA: Home and medical center hemodialysis. Dollar comparison and payback period. JAMA 246: 230, 1981PubMedCrossRefGoogle Scholar
  47. 47.
    Brown DJ, Craick CC, Davies SE, Johnson ML, Dawborn JK, Heale WF: Physical, emotional and social adjustments to home dialysis. Medical Journal of Australia 1: 245, 1978PubMedGoogle Scholar
  48. 48.
    Roberts M, Blumenkrantz MJ: Sorbent dialysis. in Dialysis Therapy, 1st ed, edited by Nissenson AR, Fine RN, Philadelphia, PA, Hanley and Belfus, Inc, 1986, p 222Google Scholar
  49. 49.
    Nikolay J, Gutmann A, Seybold D, Gessler U: Experiences with Redy-dialysis on a camper. Life Support Systems 1: 291, 1983PubMedGoogle Scholar
  50. 50.
    Roberts JL: Analysis and outcome of 1063 patients trained for home hemodialysis. Kidney Int 9: 363, 1976PubMedCrossRefGoogle Scholar
  51. 51.
    Johnson WJ, Kurtz SB, Anderson CF, Mitchell JC, Zincke H, O’Fallon WM: Results of treatment of renal failure by means of home hemodialysis. Mayo Clinic Proc 59: 663, 1984Google Scholar
  52. 52.
    Rubin J, Hsu H, Bower J: Survival on dialysis therapy: one center’s experience. Am J Med Sci 297: 80, 1989PubMedCrossRefGoogle Scholar
  53. 53.
    Mailloux LU, Bellucci AG, Mossey RT, Napolitano B, Moore T, Wilkes BM, Bluestone PA: Predictors of survival in patients undergoing dialysis. Am J Med 84: 855, 1988PubMedCrossRefGoogle Scholar
  54. 54.
    Gutman RA, Blumenkrantz MJ, Chan YK, Barbour GL, Gandhi VC, Shen FH, Tucker T, Murawski BJ, Coburn JW, Curtis FK: Controlled comparison of hemodialysis and peritoneal dialysis: Veterans Administration multicenter study. Kidney Int 26: 459, 1984PubMedCrossRefGoogle Scholar
  55. 55.
    Gent AC, Rodger RS, Howie CA, Junor BJ, Briggs JD, Macdougall AI: Dialysis at home in the west of Scotland: a comparison of hemodialysis and continuous ambulatory peritoneal dialysis in age-and sex-matched controls. Peritoneal Dialysis International 12: 365, 1992Google Scholar
  56. 56.
    US Renal Data System, USRDS 1991 Annual Data Report. Bethesda, MD: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, 1991Google Scholar
  57. 57.
    Held PJ, Port FK, Turenne M, Gaylin DS, Hamburger RJ, Wolfe RA: Continuous ambulatory peritoneal dialysis and hemodialysis: comparison of patient mortality with adjustment for comorbid conditions. Kidney Int 45: 1163, 1994PubMedCrossRefGoogle Scholar
  58. 58.
    Held, PJ: Personal communication, 1994Google Scholar
  59. 59.
    Delano BG, Lundin AP, Friedman EA: Successful home hemodialysis in purportedly unacceptable patients. Nephron 31: 191, 1982PubMedCrossRefGoogle Scholar
  60. 60.
    Delano BG, Friedman EA: Correlates of decade-long technique survival on home hemodialysis. ASAIO Transactions 36: M337, 1990PubMedGoogle Scholar
  61. 61.
    Christensen AJ, Smith TW, Turner CW, Holman JM Jr, Gregory MC: Type of hemodialysis and preference for behavioral involvement: interactive effects on adherence in end-stage renal disease. Health Psychology 9: 225, 1990PubMedCrossRefGoogle Scholar
  62. 62.
    Talemaitoga AS, Sanders BA, Hinton D, Lynn KL: Nutritional status of home hemodialysis patients. Austral N Z J Med 19: 303, 1989Google Scholar
  63. 63.
    Soskolne V, De-Nour AK: Psychosocial adjustment of home hemodialysis, continuous ambulatory peritoneal dialysis and hospital dialysis patients and their spouses. Nephron 47: 266, 1987PubMedGoogle Scholar
  64. 64.
    Richmond JM, Lindsay RM, Burton HJ, Conley J, Wai L: Psychological and physiological factors predicting the outcome on home hemodialysis. Clin Nephrol 17: 109, 1982PubMedGoogle Scholar
  65. 65.
    Farmer CJ, Bewick M, Parsons V, Snowden SA: Survival on home haemodialysis: its relationship with physical symptomatology, psychosocial background and psychiatric morbidity. Psychological Medicine 9: 515, 1979PubMedGoogle Scholar
  66. 66.
    Lowry MR, Atcherson E: A short-term follow-up of patients with depressive disorder on entry into home dialysis training. Journal of Affective Disorders 2: 219, 1980PubMedCrossRefGoogle Scholar
  67. 67.
    Farmer CJ, Snowden SA, Parsons V: The prevalence of psychiatric illness among patients on home haemodialysis. Psychological Medicine 9: 509, 1979PubMedCrossRefGoogle Scholar
  68. 68.
    Reichwald-Klugger E, Tieben-Heibert A, Korn R, Stein L, Week K, Maiwald A, Mehls O, Diekmann L, Muller-Wiefel DE, Jochmus I et al.: Psychosocial adaptation of children and their parents to hospital and home hemodialysis. International Journal of Pediatric Nephrology 5: 45, 1984PubMedGoogle Scholar
  69. 69.
    Roberts JC, Kjellstrand CM: Choosing death. Withdrawal from chronic dialysis without medical reason. Acta Medica Scandinavica 223: 181, 1988PubMedCrossRefGoogle Scholar
  70. 70.
    Evans RW, Manninen DL, Garrisson LPJ, Hart LG, Blagg CR, Gutman RA, Hull AR, Lowrie EG: The quality of life of patients with end-stage renal disease. N Engl J Med 312: 553, 1985PubMedCrossRefGoogle Scholar
  71. 71.
    Bremer BA, McCauley CR, Wrona RM, Johnson JP: Quality of life in end-stage renal disease: a reexamination. Am J Kidney Dis 13: 200. 1989PubMedGoogle Scholar
  72. 72.
    Rubin J, Case G, Bower J: Comparison of rehabilitation in patients undergoing home dialysis. Continuous ambulatory or cyclic peritoneal dialysis vs home hemodialysis. Arch Intern Med 150: 1429, 1990PubMedCrossRefGoogle Scholar
  73. 73.
    Haviland JW: Experiences in establishing a community artificial kidney center. Trans Am Clin Clim Assoc 77: 125, 1965Google Scholar
  74. 74.
    Rettig RA and Levinsky NG eds: Kidney Failure and the Federal Government. Washington DC, National Academy Press, 1991Google Scholar
  75. 75.
    Held PJ, Levin NW, Bovbjerg RR, Pauly MV, Diamond LH: Mortality and duration of hemodialysis treatment. JAMA 265: 871, 1991PubMedCrossRefGoogle Scholar
  76. 76.
    Delmez JA, Windus DW and the St. Louis Nephrology Study Group: Hemodialysis prescription and delivery in a metropolitan community. Kidney Int 41: 1023, 1992PubMedCrossRefGoogle Scholar
  77. 77.
    Farley DO: Effects of Competition on Dialysis Facility Service Levels and Patient Selection, Rand Graduate School, Santa Monica, CA, 1993Google Scholar
  78. 78.
    Mion C: Personal communication, 1994Google Scholar
  79. 79.
    Uldall R, Fraancoeur R, Ouwendyk M, Wallace L, Langos V, Ecclestone A, Vas S: Simplified nocturnal home hemodialysis (SNHHD). A new approach to renal replacement therapy. (Abstract) JASN 5(3): 428, 1994Google Scholar

Copyright information

© Kluwer Academic Publishers 1996

Authors and Affiliations

  • Christopher Blagg
    • 1
  1. 1.Northwest Kidney CentersSeattleUSA

Personalised recommendations