Get The Facts

Get the facts
Ask your doctor about more frequent home hemodialysis compared to in-center 3-times-weekly hemodialysis

Fact 1:

Three-times-weekly dialysis may not be enough.

A study funded by the National Institutes of Health found that deaths, heart attacks and hospitalizations were much higher when returning from your two days off dialysis as compared to other treatments during the week.1

Fact 2:

More frequent home hemodialysis may offer health and quality of life benefits such as:2

  • Improved survival.3
  • Much quicker recovery time after treatment.
  • Better blood pressure control with fewer medications.
  • Improved appetite and the ability to drink more.
  • Better mental and physical health.
  • Reduced stress on the heart.

Fact 3:

More doctors would choose home hemodialysis.

In a recent survey, more than 90% of nephrologists said they would choose a home therapy for themselves if faced with dialysis, with home hemodialysis as the preferred option.4

Most patients are in-center.

Yet, more than 90% of patients undergoing dialysis in the United States are doing three-times-weekly in-center therapy.

What can you do?

Ask Your Doctor:

1. What dialysis therapy may offer me the best chance for survival?

2. What dialysis therapy would you choose if faced with kidney failure?

3. How can I learn more about home dialysis as a possible treatment?

What you should know about more frequent home hemodialysis

As a dialysis patient, it is important that you understand your disease, the treatment modality you are currently using, and other treatment options that may be right for you.

Conventional in-center hemodialysis

  • Dialysis center staff performs treatment
  • 3 days per week
  • 3-4 hour treatments
  • Dialysis time scheduled by clinic

More frequent home hemodialysis

  • Trained patient and/or care partner performs treatment
  • 5-6 days per week
  • 2.5-3 hour treatments
  • Dialysis time scheduled around your life


More frequent hemodialysis keeps the amount of toxin and water build-up to a minimum, which makes the treatment shorter and may reduce or eliminate many side effects patients experience. Doing dialysis more often is closer to how healthy kidneys work.

Many patients report and various studies confirm that compared to three-times-weekly in-center hemodialysis, more frequent home hemodialysis may offer many health and quality of life benefits (references available in free information kit).

Despite the health benefits that more frequent home hemodialysis may provide to those with chronic kidney disease, this form of therapy is not for everyone. The reported benefits of home hemodialysis may not be experienced by all patients.

The risks associated with hemodialysis treatments in any environment include, but are not limited to, high blood pressure, fluid overload, low blood pressure, heart-related issues, and vascular access complications. The medical devices used in hemodialysis therapies may add additional risks including air entering the bloodstream, and blood loss due to clotting or accidental disconnection of the blood tubing set.

Certain risks are unique to the home. Treatments at home are done without the presence of medical personnel and on-site technical support. Patients and their partners must be trained on what to do and how to get medical or technical help if needed.

  1. Long Interdialytic Interval and Mortality among Patients Receiving Hemodialysis. Foley R, Gilbertson D, Murray T, and Collins A. N Engl J Med 2011; 365:1099-1107.
  2. For a list of clinical references in support of these benefit claims, please see NxStage booklet, “The Life-Changing Benefits of Daily Home Hemodialysis” included in the Free Information Kit available for order via the enclosed form.
  3. Weinhandl, E et al. Survival in Daily Home Hemodialysis and Matched Thrice-Weekly In-Center Hemodialysis Patients. JASN Feb 23, 2012 ASN.2011080761; published ahead of print.
  4. Perceptions about renal replacement therapy among nephrology professionals. Schiller B, Neitzer A, Doss S. Nephrol News Issues. 2010 Sep;24(10):36, 38, 40.
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